Active NPI
Lance Ward, DPT
- Sports Physical Therapist
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- P22826
- Practice address
- 861 Old Winston Rd
Kernersville, NC 27284-7140 - Phone
- (336) 716-8400
- NPI assigned
- Dec 29, 2023
- Last updated
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | P22826 | NC | Primary |
| Orthopedic Physical Therapist | 2251X0800X | P22826 | NC |
Addresses
Primary practice location
861 Old Winston Rd
Kernersville, NC 27284-7140
Mailing address
3621 N Elm St Apt 2D
Greensboro, NC 27455-2860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4515 Premier Dr
Suite 307
High Point, NC 27265-8356
Phone (336) 802-2250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22826 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Sports | Current | Accepting new patients |
Locations
4515 Premier Dr
Ste 307
High Point, NC 27265
Phone (336) 802-2250
861 Old Winston Rd
Kernersville, NC 27284
Phone (336) 713-3500
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
Sports
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1568231611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 N ELM ST APT 2D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 OLD WINSTON RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847140",
"telephone_number": "336-716-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "LANCE",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-29",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P22826",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P22826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.