Active NPI
Linda D Stewart, PT
- Physical Therapist
- Bernalillo, NM
National Provider Identifier
1588608236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4211
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51502735 | Other | AL | BCBS |
| 51531831 | Other | AL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT4211 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Physical Therapy and Wellness Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Los Lunas, NM
- NPI 1386651412
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1831133586
-
- Orthopaedic Surgery Physician
- Talladega, AL
- NPI 1275843492
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.