Active NPI
Lonnie Mitchell Ward, PT
- Orthopedic Physical Therapist
- Springfield, OR
National Provider Identifier
1922401140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3838
- Practice address
- 3377 Riverbend Dr
Outpatient Therapy Riverbend Pavilion 3Rd Floor
Springfield, OR 97477-8803 - Phone
- (541) 222-6224
- Fax
- (541) 431-9147
- NPI assigned
- Oct 1, 2014
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 3838 | OR | Primary |
Addresses
Primary practice location
3377 Riverbend Dr
Outpatient Therapy Riverbend Pavilion 3Rd Floor
Springfield, OR 97477-8803
Mailing address
3377 Riverbend Dr
Outpatient Therapy Riverbend Pavilion 3Rd Floor
Springfield, OR 97477-8803
Phone (541) 222-6224
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3838 | OR | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1922401140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"address_2": "OUTPATIENT THERAPY RIVERBEND PAVILION 3RD FLOOR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778803",
"telephone_number": "541-222-6224",
"fax_number": "541-431-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3377 RIVERBEND DR",
"address_2": "OUTPATIENT THERAPY RIVERBEND PAVILION 3RD FLOOR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778803",
"telephone_number": "541-222-6224",
"fax_number": "541-431-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "LONNIE",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "3838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.