Individual provider Active NPI

Winston Wade Ward II, LMT

  • Massage Therapist
  • Sebring, FL
National Provider Identifier
1184190126
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA88990 Issued in FL
Practice address
6770 US Highway 27 N
Sebring, FL 33870
Phone
(239) 823-6673
Fax
(863) 382-0831
NPI assigned
Oct 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA88990 FL Primary

Addresses

Primary practice location

6770 US Highway 27 N
Sebring, FL 33870

Mailing address

6770 US Highway 27 N
Sebring, FL 33870-0600
Phone (239) 823-6673

Other practice location 1

943 Mall Ring Rd
Sebring, FL 33870-8515
Phone (863) 402-2208

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA88990FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Therapies, LLC Past Accepting new patients
Curb Your Stress Massage LLC Massage Therapist Past Accepting new patients
Intuitive Massage, Inc. Massage Therapist Past Accepting new patients

Organizations & group practices 3

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1184190126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338700600",
            "telephone_number": "239-823-6673",
            "fax_number": "863-382-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "239-823-6673",
            "fax_number": "863-382-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Mall Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338708515",
            "country_code": "US",
            "telephone_number": "863-402-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "WINSTON",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA88990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.