Active NPI
Mark Allen Ward
- Physical Therapist
- Midwest City, OK
National Provider Identifier
1992989362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4058
- Practice address
- 9309 E Reno Ave
Midwest City, OK 73130-3321 - Phone
- (405) 732-3353
- Fax
- (405) 732-3397
- NPI assigned
- Dec 20, 2007
- 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 | 4058 | OK | Primary |
Addresses
Primary practice location
9309 E Reno Ave
Midwest City, OK 73130-3321
Mailing address
9309 E Reno Ave
Midwest City, OK 73130-3321
Phone (405) 732-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080508000342 | OK | Practitioner - Physical Therapist in Private Practice | 9739268277 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Physical Therapy Inc
Practice addresses (Care Compare)
11704 S Western Ave
Oklahoma City, OK 73170-5830
Phone (405) 692-5205
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.97 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 63.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4058 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
9309 E Reno Ave
Oklahoma City, OK 73130
Phone (405) 732-3353
11704 S Western Ave
Oklahoma City, OK 73170
Phone (405) 692-5205
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
- Midwest City, OK
- NPI 1336167204
OK, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1992989362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 E RENO AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731303321",
"telephone_number": "405-732-3353",
"fax_number": "405-732-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9309 E RENO AVE",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731303321",
"telephone_number": "405-732-3353",
"fax_number": "405-732-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MARK",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.