Active NPI
Todd Stewart, ATC
- Specialist
- Bluffton, SC
National Provider Identifier
1104855782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 630
- Practice address
- 38 Sheridan Park Cir
Ste E
Bluffton, SC 29910-7022 - Phone
- (843) 815-5628
- Fax
- (843) 681-5631
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 630 | SC | Primary |
Addresses
Primary practice location
38 Sheridan Park Cir
Ste E
Bluffton, SC 29910-7022
Mailing address
95 Mathews Dr
Ste D5
Hilton Head Island, SC 29926-3734
Phone (843) 681-5640
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | SC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104855782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MATHEWS DR",
"address_2": "STE D5",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299263734",
"telephone_number": "843-681-5640",
"fax_number": "843-681-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 SHERIDAN PARK CIR",
"address_2": "STE E",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107022",
"telephone_number": "843-815-5628",
"fax_number": "843-681-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "TODD",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.