Theodore J Ballard, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P14641 Issued in NC

Practice address

Womack
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Phone

(910) 907-8922

Fax

(910) 907-6069

NPI assigned

Apr 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1972820199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOMACK",
            "address_2": "2817 ROCK MERRITT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28307",
            "telephone_number": "910-643-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOMACK",
            "address_2": "2817 ROCK MERRITT AVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P14641",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Baker
• Jeffrey Thomas Baldwin
• Jillian Bianca Ballantyne, PH.D.
• Heather L Ballard, DPT, MOT
• Peter Kjell Ballard, M.D.
• Cory Duane Ballentine
• Eldridge E Baltazar, L/ATC
• Louie Morgan Banks III, PHD
• George Allen Barbee, PA-C
• Barber DME Supply Group

• Orthopedic Physical Therapist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.