Individual provider Active NPI

Nicholas Cameron Ward, DPT

  • Orthopedic Physical Therapist
  • Fresno, CA
National Provider Identifier
1154899086
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT295399 Issued in CA
Practice address
8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833
Phone
(559) 440-9200
Fax
(559) 440-9222
NPI assigned
Nov 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT295399 CA Primary

Addresses

Primary practice location

8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833

Mailing address

8525 N Cedar Ave Ste 109
Fresno, CA 93720-4833
Phone (559) 440-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002805 CA Practitioner - Physical Therapist in Private Practice 4385983196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295399CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plan Physical Therapy, Inc. Orthopedic CurrentSince Nov 13, 2018 Accepting new patients
Seivert Physical Therapy PC Past Accepting new patients

Locations

8525 N Cedar Ave
Ste 109
Fresno, CA 93720
Phone (559) 433-1120

1360 E Spruce Ave
Ste 102
Fresno, CA 93720
Phone (559) 440-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1154899086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 N CEDAR AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204833",
            "telephone_number": "559-440-9200",
            "fax_number": "559-440-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 N CEDAR AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204833",
            "telephone_number": "559-440-9200",
            "fax_number": "559-440-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "NICHOLAS",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT295399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.