Individual provider Active NPI

Kaitlin Marie Stewart, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1174955611
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011133 Issued in GA
Practice address
857 Collier Rd NW
Suite 1
Atlanta, GA 30318-2532
Phone
(404) 419-7760
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011133 GA Primary

Addresses

Primary practice location

857 Collier Rd NW
Suite 1
Atlanta, GA 30318-2532

Mailing address

1160 Windsor Pkwy
Unit 4
Atlanta, GA 30319-1078
Phone (734) 646-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408001818 TX Practitioner - Physical Therapist in Private Practice 4688818826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physical Therapists LLCGroup PAC ID 7719140052, 20 clinicians

Practice addresses (Care Compare)

7900 Northaven Rd
Fitness Center
Dallas, TX 75230-3392
Phone (703) 302-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011133GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

1030 15th St NW
Ste 246
Washington, DC 20005

1030 15th St NW
#B1
Washington, DC 20005

7900 Northaven Rd
Dallas, TX 75230

306 W 7th St
Ft Worth, TX 76102
Phone (682) 463-9289

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1174955611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 WINDSOR PKWY",
            "address_2": "UNIT 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191078",
            "telephone_number": "734-646-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 COLLIER RD NW",
            "address_2": "SUITE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182532",
            "telephone_number": "404-419-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.