Mary Thelma Stewart, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1560 Issued in SC

Practice address

3681 Leaphart Rd Ste a
West Columbia, SC 29169-3068

Phone

(803) 454-6090

NPI assigned

Mar 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Speech and Hearing, Inc.

  • Audiologist
  • West Columbia, SC
  • NPI 1376054908
  NPD (past)
• LTC Therapy Solutions LLC

  • Rehabilitation Practitioner
  • Columbia, SC
  • NPI 1497111397
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1154782811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012818",
            "telephone_number": "803-730-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 LEAPHART RD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693068",
            "telephone_number": "803-454-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARY",
        "middle_name": "THELMA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley G. Stevens, PA-C
• William J Stevens, PHARM. D.
• Ashley Miranda Stevenson, DNAP, CRNA
• Merritt Lee Stevenson, N.P.
• Kenya Steward, CD
• Jeremy Chad Stiles, NP-C
• Chelsea Lurie Rainwater Stillwell, M.D.
• Elva Stinson, M.D.
• Scott Stockholm, DO
• Taylor Stoll, PT, DPT

• Physical Therapy Assistant in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.