Active NPI
Michael Timothy Ward, P.T.
- Physical Therapist
- College Station, TX
National Provider Identifier
1386704187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1130268
- Practice address
- 1302 Deacon Dr
College Station, TX 77845-6405 - Phone
- (979) 739-3940
- Fax
- (979) 484-7221
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1130268 | TX | Primary |
Addresses
Primary practice location
1302 Deacon Dr
College Station, TX 77845-6405
Mailing address
1302 Deacon Dr
College Station, TX 77845-6405
Phone (979) 739-3940
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86496T | Other | TX | BLUE CROSS BLUE SHIELD |
| 149305801 | Medicaid | TX | |
| 1093121824 | Other | TX | NPI: BUSINESS/CLINIC |
| 1386404187 | Other | TX | NPI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Believe Therapies, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Huntsville, TX
- NPI 1558635037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1386704187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 DEACON DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456405",
"telephone_number": "979-739-3940",
"fax_number": "979-484-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 DEACON DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456405",
"telephone_number": "979-739-3940",
"fax_number": "979-484-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MICHAEL",
"middle_name": "TIMOTHY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1130268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86496T",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149305801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI: BUSINESS/CLINIC",
"identifier": "1093121824",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1386404187",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.