Active NPI
Amy M Ward, PT
- Physical Therapist
- Melbourne, FL
National Provider Identifier
1619017258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21814
- Practice address
- 2222 S Harbor City Blvd
Melbourne, FL 32901-5527 - Phone
- (321) 723-7716
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0001963 | DE | |
| Physical Therapist | 225100000X | PT21814 | FL | Primary |
| Physical Therapist | 225100000X | 070.014518 | IL | |
| Physical Therapist | 225100000X | 21975 | MD | |
| Physical Therapist | 225100000X | PT013142L | PA | |
| Physical Therapist | 225100000X | 2305204508 | VA | |
| Physical Therapist | 225100000X | 8353PT | AZ | |
| Physical Therapist | 225100000X | 60017700 | WA | |
| Physical Therapist | 225100000X | PTL-9735 | CO |
Addresses
Primary practice location
2222 S Harbor City Blvd
Melbourne, FL 32901-5527
Mailing address
1518 Hillcrest LN
Downingtown, PA 19335-3519
Phone (484) 356-4018
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21975 | MD | MD | Ophthalmology Physician |
| 8353PT | AZ | MD | Physical Therapist |
| PTL-9735 | CO | MD | Physical Therapist |
| J1-0001963 | DE | MD | Physical Therapist |
| 070.014518 | IL | MD | Physical Therapist |
| PT013142L | PA | MD | Physical Therapist |
| 2305204508 | VA | MD | Physical Therapist |
| 60017700 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Sports & Physical Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Osler Medical Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Bonita Springs, FL
- NPI 1104893361
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1356308670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1619017258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 HILLCREST LN",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353519",
"telephone_number": "484-356-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015527",
"telephone_number": "321-723-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "AMY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001963",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21814",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.014518",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21975",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013142L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204508",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8353PT",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60017700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-9735",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.