Healthcare Provider Details

I. General information

NPI: 1225013287
Provider Name (Legal Business Name): TODD DAVID WARD PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401
US

IV. Provider business mailing address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401-9541
US

V. Phone/Fax

Practice location:
  • Phone: 303-275-2190
  • Fax:
Mailing address:
  • Phone: 303-275-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7949
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: