Active NPI
Phillip J Ward, DPT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2013013589
- Practice address
- 12639 Old Tesson Rd
Saint Louis, MO 63128-2711 - Phone
- (143) 849-0311
- NPI assigned
- Jul 9, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013013589 | MO | Primary |
Addresses
Primary practice location
12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Mailing address
12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Phone (314) 849-0311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Phillip.ward@direct.signature.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone 31484903112384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group, Inc | Current | Accepting new patients | |
| Signature Medical Group, Inc | Current | Accepting new patients | |
| Central Missouri Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1895 Richardson Rd
Arnold, MO 63010
Phone (314) 756-2800
6623 Mall Dr
Cedar Hill, MO 63016
Phone (636) 748-1999
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
425 N New Ballas Rd
Ste 202
Saint Louis, MO 63141
Phone (314) 991-2562
12639 Old Tesson Rd
Saint Louis, MO 63128
Phone (314) 446-0291
12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655
9901 Watson Rd
Ste 153
Saint Louis, MO 63126
Phone (314) 270-8671
Interoperability endpoints
- phillip.ward.p2@direct.athleticoltd.nextgenshare.com
- phillip.ward@direct.signature.nextgenshare.com
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.
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- NPI 1871542761
-
- Physical Therapist
- Columbia, MO
- NPI 1558436592
-
- Durable Medical Equipment & Medical Supplies
- Chesterfield, MO
- NPI 1982473153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1619318441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282711",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282711",
"telephone_number": "143-849-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "PHILLIP",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013013589",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Phillip.ward@direct.signature.nextgenshare.com",
"affiliation": "N",
"address_1": "12639 Old Tesson Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631282711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.