Active NPI
Andrea Ward, MPT
- Physical Therapist
- Bettendorf, IA
National Provider Identifier
1629110366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03143
- Practice address
- 729 21St St
Bettendorf, IA 52722-5004 - Phone
- (563) 344-6408
- NPI assigned
- Feb 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03143 | IA | Primary |
Addresses
Primary practice location
729 21St St
Bettendorf, IA 52722-5004
Mailing address
2938 Jefferson Ave
Davenport, IA 52803-1637
Phone (563) 344-6408
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 |
|---|---|---|---|
| 03143 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629110366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2938 JEFFERSON AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528031637",
"telephone_number": "563-344-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 21ST ST",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527225004",
"telephone_number": "563-344-6408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ANDREA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.