Active NPI
Chase Z. Stewart, DPT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1164089561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1317704
- Practice address
- 718 N Buckner Blvd Ste 118
Dallas, TX 75218-2764 - Phone
- (214) 324-5851
- Fax
- (214) 324-5728
- NPI assigned
- May 22, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1317704 | TX | Primary |
Addresses
Primary practice location
718 N Buckner Blvd Ste 118
Dallas, TX 75218-2764
Mailing address
209 Dogwood LN W
Crockett, TX 75835-5566
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 |
|---|---|---|---|
| 1317704 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1164089561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 DOGWOOD LN W",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758355566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N BUCKNER BLVD STE 118",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182764",
"telephone_number": "214-324-5851",
"fax_number": "214-324-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHASE",
"middle_name": "Z.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1317704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.