Michael Leverne Stewart, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37919 Issued in CA

Practice address

3666 Kearny Villa Rd
Suite 200
San Diego, CA 92123-1951

Phone

(858) 505-5400

Fax

(858) 505-5459

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Therapy Services, Inc.Group PAC ID 0547324675, 2 clinicians

GTMS Fitness CorporationGroup PAC ID 5395758239, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Therapy Services, Inc.

  • Specialist
  • Chula Vista, CA
  • NPI 1164668125

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• GTMS Fitness Corporation

  • Physical Therapy Clinic/Center
  • Murrieta, CA
  • NPI 1275587172

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1598052771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12242 CORNWALLIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283747",
            "telephone_number": "858-382-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 KEARNY VILLA RD",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231951",
            "telephone_number": "858-505-5400",
            "fax_number": "858-505-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "middle_name": "LEVERNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "330106028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Stewart
• Martha Vanessa Stewart
• Mary C Stewart, P.T.A.
• Mason Stewart
• Melinda Stewart
• Patrick Harris Stewart, DPT
• Renita Margaret Stewart
• Ryan W Stewart, MD
• Sara E. Stewart, M.D.
• Sarah Amanda Stewart

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.