Active NPI
Walter Elsworth Ford III, LMP
- Massage Therapist
- Richland, WA
National Provider Identifier
1467796052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00010307
- Practice address
- 110 Columbia Point Dr
Richland, WA 99352-4387 - Phone
- (509) 946-7692
- NPI assigned
- Nov 20, 2012
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00010307 | WA | Primary |
Addresses
Primary practice location
110 Columbia Point Dr
Richland, WA 99352-4387
Mailing address
2100 Bellerive Dr
Apartment 200
Richland, WA 99352-8808
Phone (509) 366-4460
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00010307 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ford Enterprises Inc. | Massage Therapist | Past | Accepting new patients |
| Family Chiropractic Wellness Center LLC | Massage Therapist | Past | Accepting new patients |
| Cantley Vision Inc PS | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1467796052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 BELLERIVE DR",
"address_2": "APARTMENT 200",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528808",
"telephone_number": "509-366-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 COLUMBIA POINT DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524387",
"telephone_number": "509-946-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "WALTER",
"middle_name": "ELSWORTH",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-20",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00010307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.