Kade Ward, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12699079-2401 Issued in UT

Practice address

267 N Spring Creek Pkwy
Providence, UT 84332-9775

Phone

(435) 792-9400

NPI assigned

Mar 7, 2022

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

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Springcreek Medical Center PC

  • Chiropractor
  • Providence, UT
  • NPI 1093075756
  Medicare reassignment NPD
• Sunshine Terrace Foundation, Inc

  • Physical Therapist
  • Logan, UT
  • NPI 1306000856
  Medicare reassignment NPD
• Sunshine Terrace Foundation, Inc

  • Community Based Hospice Care Agency
  • Logan, UT
  • NPI 1326336892
  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1942957261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "ALMO",
            "state": "ID",
            "postal_code": "833120213",
            "telephone_number": "435-881-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N SPRING CREEK PKWY",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329775",
            "telephone_number": "435-792-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KADE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12699079-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Gordon Vest, DMD
• Spencer William Wade, D.C.
• Abigail Waite, RBT
• Aurie Lyn Walker
• Troy R Walton, D.D.S.
• Wasatch Anesthesia LLC
• Wasatch Pediatric Dentistry, PC
• Jesse Charles Washburn, DO
• McKinzie Weber
• Steven John Weber, DO

• Physical Therapist in Providence, UT
• Providers in Providence, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.