Active NPI
Gary A Ward, LMT
- Massage Therapist
- Espanola, NM
National Provider Identifier
1730213562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0397
- Practice address
- 509 W Pueblo Dr
Espanola, NM 87532 - Phone
- (505) 753-6567
- Fax
- (505) 367-0077
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0397 | NM | Primary |
Addresses
Primary practice location
509 W Pueblo Dr
Espanola, NM 87532
Mailing address
PO Box 1361
Espanola, NM 87532-1361
Phone (505) 753-6567
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1730213562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1361",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875321361",
"telephone_number": "505-753-6567",
"fax_number": "505-367-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W PUEBLO DR",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-753-6567",
"fax_number": "505-367-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "0397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.