Jeremy Stewart, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19380 Issued in FL

Practice address

2030 S Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937-4400

Phone

(321) 773-8155

Fax

(321) 773-8154

NPI assigned

Jun 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• First Choice Medical Group of Brevard LLC

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1578846564
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1114960614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "address_2": "STE 3",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-773-8155",
            "fax_number": "321-773-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR",
            "address_2": "STE 3",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-773-8155",
            "fax_number": "321-773-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19380",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL. PT LICENSE NUMBER",
            "identifier": "PT-19380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indyarria Smith
• Space Coast Urgent Care LLC
• Claire E Stagg, D.D.S.
• Elizabeth Hess Stamper, MS
• Louis Ira Steinberg
• Heather Stites
• Jennifer C Straub, RN,CNOR,RNFA
• Cynthia Eileen Sullivan, APRN
• Makenzie Symeon, PHARMD
• Elizabeth Taylor, COTA/L

• Physical Therapist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.