Active NPI
Roosevelt Ward
- Orthopedic Physical Therapist
- Hillsborough, NC
National Provider Identifier
1053025940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 267 S Churton St
Hillsborough, NC 27278-2695 - Phone
- (919) 643-4524
- NPI assigned
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
267 S Churton St
Hillsborough, NC 27278-2695
Mailing address
6223 Dello St
Durham, NC 27712-1505
Other names 1
- Dr. Roosevelt Ward
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1053025940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 DELLO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277121505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 S CHURTON ST",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272782695",
"telephone_number": "919-643-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ROOSEVELT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROOSEVELT",
"last_name": "WARD",
"prefix": "DR.",
"credential": "PT, DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.