Active NPI
Cheryl L Stewart, OTD, OTR/L
- Occupational Therapist
- Glenwood, IA
National Provider Identifier
1477855419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 597
- Practice address
- 25636 Jagger Rd
Glenwood, IA 51534-6320 - Phone
- (402) 616-9646
- Fax
- (712) 352-2929
- NPI assigned
- Nov 24, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 597 | IA | Primary |
| Occupational Therapist | 225X00000X | 366 | NE |
Addresses
Primary practice location
25636 Jagger Rd
Glenwood, IA 51534-6320
Mailing address
25636 Jagger Rd
Glenwood, IA 51534-6320
Phone (402) 616-9646
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 |
|---|---|---|---|
| 366 | NE | MD | Registered Dietitian |
| 597 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1477855419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25636 JAGGER RD",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515346320",
"telephone_number": "402-616-9646",
"fax_number": "712-352-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25636 JAGGER RD",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515346320",
"telephone_number": "402-616-9646",
"fax_number": "712-352-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "597",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.