Courtney Blayne Atherton Ward, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1306647 Issued in TX

Practice address

112 W 4TH St
Justin, TX 76247-5014

Phone

(940) 648-1700

Fax

(940) 648-1776

NPI assigned

Dec 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Impact Medical and Chiropractic, PLLC

  • Family Medicine Physician
  • Justin, TX
  • NPI 1457839425
  Medicare reassignment NPD
• Jessica R. Judge DC, LLC

  • Chiropractor
  • Justin, TX
  • NPI 1871905760
  NPD

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1699246330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77033",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761770033",
            "telephone_number": "940-648-1700",
            "fax_number": "940-648-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762475014",
            "telephone_number": "940-648-1700",
            "fax_number": "940-648-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Stone Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773023843",
            "country_code": "US",
            "telephone_number": "936-827-9774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 W Bethel Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750194477",
            "country_code": "US",
            "telephone_number": "972-304-9100",
            "fax_number": "972-304-9048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "COURTNEY",
        "middle_name": "BLAYNE ATHERTON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Wagner
• Christine Jean Walker, RNFA
• Riva Tarika Walker, DDS
• Karen E Walters, P.T.
• Anna Walton
• Natalie Anne Wilkinson, PT, DPT
• Sheena Williams, MSL, BA
• Wilshire Family Dental and Orthodontics PLLC
• Grace Mary Wilson, PMHNP-BC
• Kelci Wysor-Tisch

• Physical Therapist in Justin, TX
• Providers in Justin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.