Justin D Ward

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723

Phone

(133) 658-0458

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1437927753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 CANTERBURY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353205",
            "telephone_number": "336-580-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AIRPORT NORTH OFFICE PARK STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256723",
            "telephone_number": "133-658-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun Wang, M.D.
• Qi Wang, M.D.
• Steven Wang, MD
• Jennifer Wanner
• Omar S Waqhar, D.O.
• Patricia Carol Ward
• Phaecia A. Ward, LCSW
• Danielle R Wardell, PSYD
• Margaret R Wardlow
• Karen Elizabeth Wardwell, PT

• Recreation Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Recreation Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.