IndividualActive
Walter Mcclung, PTA
NPI 1053821595 · Physical Therapy Assistant · Beaumont, TX
Provider details
- NPI number
- 1053821595
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2132376 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2990 Laurel St
Beaumont, TX 77702-2104
Phone: (409) 861-1009
Fax: (409) 861-4009
Approximate (ZIP-level) locationGet directions
Mailing address
5957 9th Ave
Port Arthur, TX 77642-6204
Additional practice locations (1)
- 5957 9th AvePort Arthur, TX 77642-6204Phone: (409) 982-8878Fax: (409) 982-5119
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.