Active NPI
Gary S Ward, PT
- Physical Therapist
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1150746
- Practice address
- 2525 N Grandview Ave
Ste 400
Odessa, TX 79761-1600 - Phone
- (432) 550-4700
- Fax
- (432) 550-4715
- NPI assigned
- Oct 4, 2006
- 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 | 1150746 | TX | Primary |
Addresses
Primary practice location
2525 N Grandview Ave
Ste 400
Odessa, TX 79761-1600
Mailing address
2525 N Grandview Ave
Ste 400
Odessa, TX 79761-1600
Phone (432) 550-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200395601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 W University Blvd
Odessa, TX 79764-7121
Phone (432) 580-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150746 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phytex Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Phytex Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Phytex Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1901 W Highway 90
Alpine, TX 79830
Phone (432) 837-5918
7036B FM 1960 Rd E
Humble, TX 77346
Phone (346) 241-0450
4409 W Wadley Ave
Midland, TX 79707
Phone (432) 617-3110
2525 N Grandview Ave
Ste 400
Odessa, TX 79761
Phone (432) 550-4700
5000 Hanover Dr
Odessa, TX 79761
Phone (432) 550-4700
1365 W University Blvd
Odessa, TX 79764
Phone (432) 580-0011
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Nursex Home Health Services, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (46.5%) Corporate Director W-2 Managing Employee |
Jan 1, 2019 Sep 12, 2014 Dec 15, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Odessa, TX
- NPI 1174890420
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
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.
-
- Physical Therapist
- Odessa, TX
- NPI 1053405977
-
- Physical Therapist
- Humble, TX
- NPI 1366937591
-
- Physical Therapist
- Odessa, TX
- NPI 1982843454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1811082027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 N GRANDVIEW AVE",
"address_2": "STE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797611600",
"telephone_number": "432-550-4700",
"fax_number": "432-550-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 N GRANDVIEW AVE",
"address_2": "STE 400",
"city": "ODESSA",
"state": "TX",
"postal_code": "797611600",
"telephone_number": "432-550-4700",
"fax_number": "432-550-4715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "GARY",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1150746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200395601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.