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DR. DUSTYN SLADE LEE WALTON PT, DPT, ATC
NPI 1164189080
Physical Therapist - Sports in Pocatello, ID

Active since November 27, 2021Accepts Medicare Assignment
921 S 8TH AVE, POCATELLO, ID 83209(307) 696-5885 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2024, Nov 24, 2023, Nov 27, 2021 (3 updates tracked since 2021).

About Dr. Dustyn Slade Lee Walton Pt, Dpt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DUSTYN SLADE LEE WALTON PT, DPT, ATC (NPI 1164189080) is an individual sports provider in Pocatello, Idaho and active in the NPI registry since November 2021. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1164189080
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameDR. DUSTYN SLADE LEE WALTONCredential: PT, DPT, ATC
Location Address921 S 8TH AVEPocatello, ID 83209-0002
Mailing Address921 S 8th Ave, Stop 8619 Apt. I1Pocatello, ID 83209 · (307) 696-5885
Phone(307) 696-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 27, 2021
Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1164189080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License LAT-5681 (NC)
921 S 8TH AVE, Pocatello, ID 83209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dustyn Slade Lee Walton Pt, Dpt, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678019957
PECOS Enrollment IDI20240723001968

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAILEY CAROLINE FRY ATS
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 240-3247
HANNA MYKAL CROZIER
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 530-3692
IDAHO STATE UNIVERSITY
Local Education Agency (LEA)
921 S 8TH AVE, MAIL STOP 8219
POCATELLO, ID 83209
Bannock County (208) 282-3540
DILLON CLARK
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 282-4636
MICHELLE METCALF DMD
Dentist
921 S 8TH AVE, CAMPUS BOX 8088
POCATELLO, ID 83209
Bannock County (208) 282-6000
RACHEL ERIN GEOGHEGAN ATC
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 479-9142
COBY YOUNG
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 589-9324
MARK WEST ROBERTS PH.D.
Psychologist (Clinical Child & Adolescent)
921 S 8TH AVE, GARRISON HALL 525 STOP 8021
POCATELLO, ID 83209
Bannock County (208) 282-2129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustyn Walton's NPI number?

The NPI number for Dustyn Walton is 1164189080. It was assigned to this individual provider in the NPPES registry on November 27, 2021.

Where is Dustyn Walton located?

Dustyn Walton practices at 921 S 8th Ave, Pocatello, ID 83209. The listed phone number is (307) 696-5885.

What is Dustyn Walton's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Dustyn Walton enrolled in Medicare?

Yes. Dustyn Walton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dustyn Walton accept?

Health plans from Blue Cross and Blue Shield of NC list Dustyn Walton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dustyn Walton was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.