Active NPI
Stetson W Dow, DPT
- Physical Therapist
- Fleming Island, FL
National Provider Identifier
1093471724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT
- Practice address
- 1835 Eastwest Pkwy Ste 16
Fleming Island, FL 32003-5311 - Phone
- (904) 215-3958
- Fax
- (904) 215-3970
- NPI assigned
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT | FL | Primary |
Addresses
Primary practice location
1835 Eastwest Pkwy Ste 16
Fleming Island, FL 32003-5311
Mailing address
1765 Lakemont Cir
Middleburg, FL 32068-6623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy and Rehabiliation Clinic Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy & Rehabilitation Clinic Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1386618064
-
- Physical Therapist
- Orange Park, FL
- NPI 1508929779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1093471724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 LAKEMONT CIR",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320686623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 EASTWEST PKWY STE 16",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320035311",
"telephone_number": "904-215-3958",
"fax_number": "904-215-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "STETSON",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.