Active NPI
Bridget Stewart
- Physical Therapist
- Covington, GA
National Provider Identifier
1275296485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP008056T
- Practice address
- 11172 Highway 142 N
Covington, GA 30014-2547 - Phone
- (678) 712-3692
- NPI assigned
- Oct 15, 2021
- Sex
- Female
- 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 | CP008056T | GA | Primary |
Addresses
Primary practice location
11172 Highway 142 N
Covington, GA 30014-2547
Mailing address
6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (866) 518-0283
Other practice location 1
7201 Turner Lake Rd NW Ste 13
Covington, GA 30014-2067
Phone (470) 444-1609
Other practice location 2
2050 Scenic Hwy N Ste A
Snellville, GA 30078-2688
Phone (678) 344-7197
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP008056T | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1275296485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212564",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11172 HIGHWAY 142 N",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142547",
"telephone_number": "678-712-3692"
}
],
"practiceLocations": [
{
"address_1": "7201 Turner Lake Rd NW Ste 13",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300142067",
"country_code": "US",
"telephone_number": "470-444-1609",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 Scenic Hwy N Ste A",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300782688",
"country_code": "US",
"telephone_number": "678-344-7197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "BRIDGET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-15",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "CP008056T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.