Active NPI
Jacquelynn Louis Stewart, LPTA
- Physical Therapy Assistant
- Harlingen, TX
National Provider Identifier
1376290056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2047595
- Practice address
- 2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212 - Phone
- (956) 440-0580
- NPI assigned
- Mar 3, 2022
- 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 Therapy Assistant | 225200000X | 2047595 | TX | Primary |
Addresses
Primary practice location
2117 E Tyler Ave Ste B
Harlingen, TX 78550-7212
Mailing address
1217 E Crockett Ave
Harlingen, TX 78550-8878
Phone (956) 793-5734
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2047595 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1376290056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 E CROCKETT AVE",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508878",
"telephone_number": "956-793-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 E TYLER AVE STE B",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507212",
"telephone_number": "956-440-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JACQUELYNN",
"middle_name": "LOUIS",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2047595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
- Starr County Hospital District (Windsor Nursing and Rehabilitation Center of Harlingen)
- Starr County Hospital District (Windsor Atrium)
- Stephanie H Garcia Mdpa
- Bradley Herman Stephens, M.D.
- Bonnie Lorraine Sterlin, FNP-C
- Dennis W Stoll, DDS
- Danielle Stone, M.D.
- James Ross Stone, M.D
- Stephen A Stout
- Strategic BH-Brownsville LLC (Palms Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.