NPIMap

Organization Active NPI

Team Ward LLC

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1437862976
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
TEAM WARD LLC
Practice address
335 NE 4TH St
Bend, OR 97701-5162
Phone
(541) 668-7506
Fax
(541) 550-8541
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mr. Kelly D Ward, LMTNPI 1689042871
Title
Owner
Phone
(541) 598-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

335 NE 4TH St
Bend, OR 97701-5162

Mailing address

335 NE 4TH St
Bend, OR 97701-5162
Phone (541) 668-7506

Other identifiers 1

IdentifierTypeStateIssuer
27-562938OtherORSECRETARY OF STATE

Other names 1

  • Bodywork of Bend Doing business as

National Provider Directory

National Provider Directory

Locations

335 NE 4th St
Bend, OR 97701
Phone (541) 350-7691

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1437862976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015162",
            "telephone_number": "541-668-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015162",
            "telephone_number": "541-668-7506",
            "fax_number": "541-550-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM WARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-598-5592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE",
            "identifier": "27-562938",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodywork of Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.