Active NPI
Taegan L Stewart
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1386422020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 32778
- Practice address
- 9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664 - Phone
- (863) 676-0174
- NPI assigned
- Sep 14, 2023
- 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 | 32778 | FL | Primary |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664
Mailing address
9975 Tavistock Lakes Blvd Ste 140
Orlando, FL 32827-7665
Phone (863) 676-0174
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 |
|---|---|---|---|
| 32778 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1386422020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD STE 140",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277665",
"telephone_number": "863-676-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277664",
"telephone_number": "863-676-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "TAEGAN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "32778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.