Gary L Ward, ATC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R0321 Issued in MO

Practice address

901 S National Ave
Missouri State University
Springfield, MO 65804-0027

Phone

(417) 836-8553

NPI assigned

Aug 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265425920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 N FARM ROAD 185",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658038441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S NATIONAL AVE",
            "address_2": "MISSOURI STATE UNIVERSITY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040027",
            "telephone_number": "417-836-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "ATC, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "000012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R0321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Kenneth Wantuck, M.D.
• Pamela Lee Wantuck, LCSW
• Warby Parker Inc.
• Amanda Ward, NP-C
• Anna Ward, D.O.
• Jennifer Suzanne Ward, PT
• Karen Ward
• Mark R Ward, MD
• Sara Marie Ward, LCSW
• Mary Annette Wardell, MD

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.