Walter Dwain Ware Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2140905 Issued in TX

Practice address

4201 Stonegate Blvd
Fort Worth, TX 76109-9503

Phone

(817) 924-5440

NPI assigned

Aug 17, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1912487174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 WINDY MEADOWS DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 STONEGATE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099503",
            "telephone_number": "817-924-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "WALTER",
        "middle_name": "DWAIN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2140905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spojmai Wardak
• Kristina Lael Warden, LPC
• Ashley Marie Ware, PMHNP
• Bethany Elizabeth Ware
• Lebria Ware, PA-C
• Hayley Waring, LPC-ASSOCIATE
• Ambreen Waris
• Corwin A Warmink, MD
• Valentina Celant Warne, PA-C
• Bethany Dawn Warner, MS, OTRL

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.