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1437970266 NPI number — RYAN MICHAEL WARD PT, DPT

NPI Number: 1437970266
Health Care Provider/Practitioner: RYAN MICHAEL WARD PT, DPT

Information about “1437970266” NPI (RYAN MICHAEL WARD PT, DPT) exists in 1437970266 in HTML format HTML  |  1437970266 in plain Text format TXT  |  1437970266 in PDF (Portable Document Format) PDF  |  1437970266 in an XML format XML  formats.

NPI Number : 1437970266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437970266",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WARD",
    "FirstName": "RYAN",
    "MiddleName": "MICHAEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "102 RIDGELAND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19803-3438",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-598-7143",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5550 KIRKWOOD HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19808-5000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-995-2100",
    "PracticeLocationAddressFaxNumber": "302-998-3104",
    "EnumerationDate": "10/23/2024",
    "LastUpdateDate": "11/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "J1-0014233",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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