Individual provider Active NPI

Laura Ward, DPT

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1548547763
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32066 Issued in CA
Practice address
20412 Barents Sea Cir
Lake Forest, CA 92630-8807
Phone
(949) 855-0100
NPI assigned
Nov 16, 2011
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32066 CA Primary
Ergonomics Physical Therapist 2251E1200X 32066 CA
Geriatric Physical Therapist 2251G0304X 32066 CA
Sports Physical Therapist 2251S0007X 32066 CA
Orthopedic Physical Therapist 2251X0800X 32066 CA

Addresses

Primary practice location

20412 Barents Sea Cir
Lake Forest, CA 92630-8807

Mailing address

20412 Barents Sea Cir
Lake Forest, CA 92630-8807
Phone (949) 855-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000419 CA Practitioner - Physical Therapist in Private Practice 7618142050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

10540 Talbert Ave
Suite 110
Fountain Valley, CA 92708-6027
Phone (949) 861-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32066CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seal Beach Physical Therapy Inc. Physical Therapist CurrentSince Jul 10, 2013 Accepting new patients
Hands on Physical Therapy, Inc Orthopedic CurrentSince Oct 7, 2019 Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients
Shadow Management Services, Inc. Physical Therapist Past Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients

Locations

30212 Tomas
Ste 120
Rcho Sta Marg, CA 92688
Phone (949) 709-8770

1005 Pacific Coast Hwy
#A2
Seal Beach, CA 90740
Phone (562) 598-5500

1005 Pacific Coast Hwy
Ste A2
Seal Beach, CA 90740
Phone (562) 598-5500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1548547763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20412 BARENTS SEA CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308807",
            "telephone_number": "949-855-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20412 BARENTS SEA CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308807",
            "telephone_number": "949-855-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32066",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "32066",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "32066",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "32066",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.