Theodore J Ballard, DPT is a
Physical Therapist physician based in Fayetteville, North Carolina. Theodore J Ballard is licensed to practice in Maryland (license number 23236) and his current practice location is Womack, 2817 Rock Merritt Ave, Fayetteville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 643-1472.
NPI number for Theodore J Ballard is 1972820199 and his current mailing address is Womack, 2817 Rock Merritt Ave, Fayetteville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972820199.
Physician's Profile
Full Name | Theodore J Ballard |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | Womack, Fayetteville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972820199
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 01/05/2024
Medical Identifiers
Medical identifiers for Theodore J Ballard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972820199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 14641 (North Carolina) | Secondary |
225100000X | Physical Therapist | 23236 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore J Ballard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore J Ballard, DPT Womack, 2817 Rock Merritt Ave, Fayetteville, NC 28307 Ph: (910) 643-1472 | Theodore J Ballard, DPT Womack, 2817 Rock Merritt Ave, Fayetteville, NC 28307 Ph: (910) 643-1472 |
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