Individual provider Active NPI

Bridget Stewart

  • Physical Therapist
  • Covington, GA
National Provider Identifier
1275296485
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP008056T Issued in GA
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

Updated by the provider on Oct 15, 2021

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 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

LicenseStateTypeSpecialty
CP008056TGAMDPhysical 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.

Verify at the official NPI Registry.