Jeremy Michael Stewart, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT30441 Issued in AZ

Practice address

1075 S Idaho Rd
Apache Junction, AZ 85119

Phone

(480) 983-0877

Fax

(480) 983-3172

NPI assigned

Jan 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monty Owen Physical Therapy, LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1396100707
  Medicare reassignment

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1477027878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD STE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196497",
            "telephone_number": "480-983-0877",
            "fax_number": "480-983-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "85119",
            "telephone_number": "480-983-0877",
            "fax_number": "480-983-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT30441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Therapy, Inc.
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• Kathryn Ann Steidle, PT
• Troy Stevenson, PA
• Priscilla Stiers
• Christina Marie Stimson MD
• Michael Howard Stumpf, M.D.
• Sun West Dental III, LLC
• Superstition Fire & Medical District

• Physical Therapist in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.