Stewart Pediatric Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STEWART PEDIATRIC THERAPY LLC

Practice address

1908 Mockingbird Lane
Suite a
Paragould, AR 72450

Phone

(870) 476-9017

Fax

(870) 362-2018

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie Jill Stewart, MSPT

Title

Physical Therapist/Owner

Phone

(870) 476-9017

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halle Brinkley, OT-A

  • Occupational Therapy Assistant
  • Paragould, AR
  • NPI 1295323202
  NPD
• Natalie Finch, PTA

  • Physical Therapy Assistant
  • Paragould, AR
  • NPI 1780272799
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1053968222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GREENE 789 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505990",
            "telephone_number": "870-476-9017",
            "fax_number": "870-362-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 MOCKINGBIRD LANE",
            "address_2": "SUITE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-476-9017",
            "fax_number": "870-362-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "870-476-9017",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Stevens
• Kerry Don Stevens, PHARMD
• Lauren Kacey Stevens, LMSW
• Tammy Leigh Stevens, PHARM.D
• Kesha Stevenson
• Ashley Stewart
• Courtney Jean Stewart, APRN, NP-C
• Stephanie Stewart, RN
• Laurie Ann Stickel, OTR
• Stidham Chiropractic PLLC

• Physical Therapist in Paragould, AR
• Providers in Paragould, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.