Amy L Stewart, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29381 Issued in CA

Practice address

4171 Las Palmas Square
San Diego, CA 91945

Phone

(858) 646-3415

Fax

(858) 677-9818

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amy L. Prest Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1275656555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 LAS PALMAS SQUARE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "91945",
            "telephone_number": "858-646-3415",
            "fax_number": "858-677-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 LAS PALMAS SQUARE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "91945",
            "telephone_number": "858-646-3415",
            "fax_number": "858-677-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PREST",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Stewart-Buret
• Aaliyah Stewart, LVN
• Abbey Stewart, AMFT
• Adrienne Stewart, N.D.
• Alexander Stewart, MD
• Anne K. Stewart, M.D.
• Ayana Stewart
• Caroline Ridout Stewart, LCSW
• Dajah Stewart
• Dorothy Jean Stewart, C3081214

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.