Randall Stewart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

673 Issued in NC

Practice address

2413 Professional Dr
Rocky Mount, NC 27804-2254

Phone

(252) 443-0808

Fax

(252) 451-9032

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6545/brand/1/csg/1/fhir/r4

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.

• Global Health Metrics, LLC

  • Physical Therapy Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1326407602
  Medicare reassignment Authorized official
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Chapel Hill, NC
  • NPI 1710429543
  Medicare reassignment NPD
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Hendersonville, NC
  • NPI 1336890086
  NPD
• Carolina Physical Therapy Associates LLC

  • Rehabilitation Clinic/Center
  • Nashville, NC
  • NPI 1629022199

  Physical Therapist

  NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1053414839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 PROFESSIONAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042254",
            "telephone_number": "252-443-0808",
            "fax_number": "252-451-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PROFESSIONAL DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042254",
            "telephone_number": "252-443-0808",
            "fax_number": "252-451-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0781P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keenya Anderson Staten, FNP-C
• Chantel Staton
• Jessica Cary Staton
• Lisha A Steed, AGNP
• Sterling House of Rocky Mount
• Saunders L Stewart
• Stinson Mobile Aud NC PLLC
• Amy Stinson, D.O.
• Angela Cohoon Stokes, PHARMD
• Jessica Rose Stone, PMHNP-BC, PMHCNS-BC

• Physical Therapist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.

Verify at the official NPI Registry.