Active NPI
Brian Douglas Stewart, MS, PT, CSCS
- Physical Therapist
- Independence, MO
National Provider Identifier
1508844259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2003016761
- Practice address
- 4460 S Noland Rd
Independence, MO 64055-4743 - Phone
- (816) 373-2845
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 Therapist | 225100000X | 2003016761 | MO | Primary |
Addresses
Primary practice location
4460 S Noland Rd
Independence, MO 64055-4743
Mailing address
7041 Riggs St
Overland Park, KS 66204-1460
Phone (913) 707-2211
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003016761 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508844259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7041 RIGGS ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662041460",
"telephone_number": "913-707-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 S NOLAND RD",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554743",
"telephone_number": "816-373-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BRIAN",
"middle_name": "DOUGLAS",
"credential": "MS, PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2003016761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.