Richard Stewart, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P10199 Issued in NC

Practice address

703 N US 29 Hwy
China Grove, NC 28023-2617

Phone

(704) 859-5040

Fax

(704) 856-8815

NPI assigned

Aug 30, 2006

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Buffalo School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Life Physical Therapy, LLC

  • Physical Therapist
  • Statesville, NC
  • NPI 1023723798
  Medicare reassignment NPD Authorized official
• Comprehab LLC

  dba Compleat KiDZ Pediatric Therapy

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1063522647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 RIDING TRL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179165",
            "telephone_number": "704-578-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N US 29 HWY",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232617",
            "telephone_number": "704-859-5040",
            "fax_number": "704-856-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13024 Eastfield Rd Ste A600",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786604",
            "country_code": "US",
            "telephone_number": "980-288-5440",
            "fax_number": "704-727-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 Rocky River Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282159592",
            "country_code": "US",
            "telephone_number": "980-255-3610",
            "fax_number": "704-526-0680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1428 E Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280923902",
            "country_code": "US",
            "telephone_number": "704-748-0516",
            "fax_number": "980-389-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Mt Holly Huntersville Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282149326",
            "country_code": "US",
            "telephone_number": "980-477-8420",
            "fax_number": "980-477-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RICHARD",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Rhoades, RPH
• Rowan Medical Practice Inc (South Rowan Family Practice)
• Jhitlada Kelly Saengsomphou
• Joshua Seth Shoaf, PT, DPT
• Brooks Alan Spolarich, PHARMD
• Candice Proctor Stiller, NP
• Summit Family Services, Inc.
• Caitlin Herman Suther, LPCA
• Hannah Marie Teague, DO
• Tiffany Thomas

• Physical Therapist in China Grove, NC
• Providers in China Grove, 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 Jun 15, 2022; 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.