Active NPI
Andrew G Ward, P.T.
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1912995994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006
- Practice address
- 4812 E 33Rd St
Tulsa, OK 74135-2038 - Phone
- (918) 622-4126
- Fax
- (918) 270-2398
- NPI assigned
- Oct 12, 2005
- 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 | 2006 | OK | Primary |
Addresses
Primary practice location
4812 E 33Rd St
Tulsa, OK 74135-2038
Mailing address
4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20034530A | Medicaid | OK | |
| 4533856 | Other | AETNA LEGACY | |
| 200034530A | Other | MEDICAID LEGACY | |
| 650021945 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190405000350 | CO | Practitioner - Physical Therapist in Private Practice | 1759294614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heights Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Lake City, CO
- NPI 1033872973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1912995994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 E 33RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352038",
"telephone_number": "918-622-4126",
"fax_number": "918-270-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 E 33RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352038",
"telephone_number": "918-622-4126",
"fax_number": "918-270-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ANDREW",
"middle_name": "G",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20034530A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LEGACY",
"identifier": "4533856",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LEGACY",
"identifier": "200034530A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "650021945",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.