Individual provider Active NPI

John M McAward Jr., P.T., M.T.C.

  • Orthopedic Physical Therapist
  • Durango, CO
National Provider Identifier
1861490112
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2702 Issued in CO
Practice address
1 Mercado St Ste 201
Durango, CO 81301-7307
Phone
(970) 385-0644
Fax
(970) 385-0620
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0002702 CO
Orthopedic Physical Therapist 2251X0800X 2702 CO Primary

Addresses

Primary practice location

1 Mercado St Ste 201
Durango, CO 81301-7307

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other practice location 1

129 County Road 250
Durango, CO 81301-8530
Phone (970) 259-9366

Other identifiers 2

IdentifierTypeStateIssuer
54804337MedicaidCO
63722887MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926000078 CO Practitioner - Physical Therapist in Private Practice 8820182579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0002702COMDPhysical Therapist
2702COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Surgical Hospital, LLC CurrentSince Sep 1, 2023 Accepting new patients
Durango Surgery Center LLC CurrentSince Sep 1, 2023 Accepting new patients
Peak Physical Therapy P C Physical Therapist PastSince Nov 19, 2012 Accepting new patients

Locations

575 Rivergate Ln
Unit 204
Durango, CO 81301
Phone (970) 382-8292

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1861490112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017307",
            "telephone_number": "970-385-0644",
            "fax_number": "970-385-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 County Road 250",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018530",
            "country_code": "US",
            "telephone_number": "970-259-9366",
            "fax_number": "970-259-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCAWARD",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T., M.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0002702",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54804337",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63722887",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.