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DORIS WALTERHOUSE PT, DPT
NPI 1699536946
Physical Therapist - Neurology in South Bend, IN

Active since January 23, 2024
655 RIVER AVE, SOUTH BEND, IN 46601(231) 329-5518 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Doris Walterhouse Pt, Dpt NPPES

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

DORIS WALTERHOUSE PT, DPT (NPI 1699536946) is an individual neurology provider in South Bend, Indiana, licensed in (05013845A) and active in the NPI registry since January 2024. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1699536946
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameDORIS WALTERHOUSECredential: PT, DPT
Location Address655 RIVER AVESouth Bend, IN 46601-3237
Mailing AddressPo Box 233South Bend, IN 46624-0233 · (231) 329-5518
Phone(231) 329-5518
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1699536946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed · 05013845A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
655 RIVER AVE, South Bend, IN 46601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doris Walterhouse Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022558022
PECOS Enrollment IDI20240905000744

Other Providers at the Same Location NPPES

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

THRIVE NEURO THERAPY, LLC
Clinic/Center (Physical Therapy)
655 RIVER AVE
SOUTH BEND, IN 46601
St. Joseph County (231) 329-5518

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 Doris Walterhouse's NPI number?

The NPI number for Doris Walterhouse is 1699536946. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Doris Walterhouse located?

Doris Walterhouse practices at 655 River Ave, South Bend, IN 46601. The listed phone number is (231) 329-5518.

What is Doris Walterhouse's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Is Doris Walterhouse enrolled in Medicare?

Yes. Doris Walterhouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Doris Walterhouse was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.