Audie R Walters, PTA
Physical Therapist in Willimantic, Connecticut
1619821261- Practice location
- 595 Valley St, Willimantic, CT 06226-1901
- Phone
- 860-450-7060
- Fax
- —
- Last updated
- February 23, 2026
Audie Riley Walters is a Physical Therapist based in Willimantic, CT. Audie Riley Walters practices in Willimantic, CT and has the professional credentials of PTA. The NPI Number for Audie Riley Walters is 1619821261 and holds a License No. 2454 (CT). The current practice location address for Audie Riley Walters is 595 Valley St, Willimantic, CT 06226-1901 and can be reached out via phone at 860-450-7060.
Provider Profile Details
- NPI Number
- 1619821261
- Provider Name
- Audie Riley Walters
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 595 Valley St, Willimantic, CT 06226-1901
- Phone Number
- 860-450-7060
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 23, 2026
- Last Update Date
- February 23, 2026
- Certification Date
- February 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Valley St
Willimantic, CT 06226-1901 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-1901
- Phone Number
- 860-450-7060
Provider Business Mailing Address Details
- Address
- 195 Fitchville RD Apt 3
Bozrah, CT 06334-1125 - City
- Bozrah
- State
- CT
- Zip
- 06334-1125
- Phone Number
- 860-501-6325
License Information
- License Number
- 2454
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Willimantic, CT
View all Physical Therapists in Willimantic →- Angela M Brown, PTPhysical Therapist · NPI 1902910524
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- Michelle M Couture, PTPhysical Therapist · NPI 1659580983
- Mr. Roy W Maynard, PTPhysical Therapist · NPI 1447227517
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Frequently Asked Questions
What is the NPI number of Audie R Walters, PTA?
The NPI number of Audie R Walters, PTA is 1619821261. It was assigned on February 23, 2026 and is currently active in the NPPES registry.
What is the specialty of Audie R Walters, PTA?
Audie R Walters, PTA is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 2454.
Where does Audie R Walters, PTA practice?
The practice location is 595 Valley St, Willimantic, CT 06226-1901. The office can be reached at 860-450-7060 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619821261 directly on the NPPES registry website.