NPIMap

Organization Active NPI

Ward Therapies, PC

  • Physical Therapy Clinic/Center
  • College Station, TX
National Provider Identifier
1093121824
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1130268 Issued in TX
Legal business name
WARD THERAPIES, PC
Practice address
1302 Deacon Dr
College Station, TX 77845-6405
Phone
(979) 739-3940
NPI assigned
Jul 1, 2014
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Timothy Ward, P.T.NPI 1386704187
Title
President
Phone
(979) 739-3940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1130268 TX Primary

Addresses

Primary practice location

1302 Deacon Dr
College Station, TX 77845-6405

Mailing address

1302 Deacon Dr
College Station, TX 77845-6405
Phone (979) 739-3940

Other identifiers 4

IdentifierTypeStateIssuer
1093121824OtherTXNPI
365115OtherTXMEDICARE PROVIDER#
87T45OtherTXBCBS
1386704187OtherTXPROVIDER'S NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1093121824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 DEACON DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456405",
            "telephone_number": "979-739-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DEACON DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456405",
            "telephone_number": "979-739-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD THERAPIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-739-3940",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1130268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093121824",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER#",
            "identifier": "365115",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87T45",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER'S NPI",
            "identifier": "1386704187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.