Renee Ward, MPT, WCC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104461 Issued in TX

Practice address

902 N Main St
San Angelo, TX 76903-4077

Phone

(325) 655-7391

Fax

(325) 653-1413

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1285116525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17925 E HELWIG RD",
            "city": "MILES",
            "state": "TX",
            "postal_code": "768615213",
            "telephone_number": "325-895-1799",
            "fax_number": "325-468-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N MAIN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034077",
            "telephone_number": "325-655-7391",
            "fax_number": "325-653-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "RENEE",
        "credential": "MPT, WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1104461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Walters, MSW
• Kelsey Danielle Walts
• Keith D Walvoord, MD
• Elizabeth Ward, APRN, FNP-BC
• Kelvin Keith Ward, D.C.
• Shauna Ward, RNFA
• Leroy Warman, OTR/L
• Charlene Warren
• Cheri Watkins, RN
• Bree Watson

• Physical Therapist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.