Individual provider Active NPI

Linda D Stewart, PT

  • Physical Therapist
  • Bernalillo, NM
National Provider Identifier
1588608236
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4211 Issued in NM
Practice address
1083 Prairie Zinnia Dr
Bernalillo, NM 87004-5801
Phone
(505) 933-7994
Fax
(505) 930-7136
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4211 NM Primary

Addresses

Primary practice location

1083 Prairie Zinnia Dr
Bernalillo, NM 87004-5801

Mailing address

1083 Prairie Zinnia Dr
Bernalillo, NM 87004-5801
Phone (205) 901-0743

Other identifiers 2

IdentifierTypeStateIssuer
51502735OtherALBCBS
51531831OtherALBCBS

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

State licenses

LicenseStateTypeSpecialty
PT4211NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Feb 4, 2013 Accepting new patients
Orthopaedic Specialists of Alabama PC Past Accepting new patients
Orthopaedic Specialists of Alabama, PC Past Accepting new patients

Locations

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1588608236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 PRAIRIE ZINNIA DR",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045801",
            "telephone_number": "205-901-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 PRAIRIE ZINNIA DR",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045801",
            "telephone_number": "505-933-7994",
            "fax_number": "505-930-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LINDA",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51502735",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51531831",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.