Individual provider Active NPI

Gordon William Ward Jr., MPT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1144339268
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19304 Issued in MD
Practice address
2003 Medical Pkwy Ste 400
Annapolis, MD 21401
Phone
(410) 573-2530
Fax
(410) 573-2536
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19304 MD Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste 400
Annapolis, MD 21401

Mailing address

2003 Medical Pkwy Ste 400
Annapolis, MD 21401-3088
Phone (410) 573-2530

Other practice location 1

545 Baltimore Annapolis Blvd
Severna Park, MD 21146
Phone (410) 315-9080

Other practice location 2

740 Stevenson Rd
Suite A
Severn, MD 21144-2200
Phone (410) 969-7580

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

State licenses

LicenseStateTypeSpecialty
19304MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1144339268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013088",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-573-2530",
            "fax_number": "410-573-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Baltimore Annapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "21146",
            "country_code": "US",
            "telephone_number": "410-315-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Stevenson Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Severn",
            "state": "MD",
            "postal_code": "211442200",
            "country_code": "US",
            "telephone_number": "410-969-7580",
            "fax_number": "410-969-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "GORDON",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.