Samuel David Stewart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5748 Issued in OK

Practice address

1355 W Rogers Blvd Ste 10
Skiatook, OK 74070-4205

Phone

(918) 369-7125

Fax

(918) 396-7186

NPI assigned

Oct 9, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Skiatook, OK
  • NPI 1316345705
  Medicare reassignment NPD
• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Catoosa, OK
  • NPI 1770031577
  NPD
• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Glenpool, OK
  • NPI 1861054454
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1245872563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 PRESIDENTS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368621",
            "telephone_number": "717-839-2188",
            "fax_number": "717-565-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W ROGERS BLVD STE 10",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740704205",
            "telephone_number": "918-369-7125",
            "fax_number": "918-396-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skiatook Public Schools
• Pedro M Soto, DDM
• Kimberly A Speaks, ARNP
• Celeste St. Gemme, DPT
• Stepping Stone Pediatric Therapy
• Micaiah Grace Stowe
• Amber Stultz, PTA
• Layne Evan Subera, D.O.
• Elizabeth Eva Taylor
• Alexandra Teel, DNP, APRN-CNP

• Physical Therapist in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.