Stuart W Maccollom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2912 Issued in FL

Practice address

8140 Bayhaven Dr
Seminole, FL 33776-3321

Phone

(727) 546-8900

Fax

(727) 546-8940

NPI assigned

Sep 26, 2007

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.49 of 100Reported as group

Quality

77.16

Promoting interoperability

93

Improvement activities

40

Cost

75.33

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBHHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinellas Medical Associates, PA

  dba Align Orthopaedic & Spine

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1285765040
  Medicare reassignment Care Compare group NPD
• Gateway Radiology Consultants, P.a.

  dba Gateway EmUrgent Care

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1952747842
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1609063494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 BAYHAVEN DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763321",
            "telephone_number": "727-546-8900",
            "fax_number": "727-546-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 BAYHAVEN DR",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763321",
            "telephone_number": "727-546-8900",
            "fax_number": "727-546-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOLLOM",
        "first_name": "STUART",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010475500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AI939Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lunden Psychological Services, Inc.
• Judy Carol Lunden, PSY.D.
• Sherry Lynn, ARNP
• Casey Macarthur
• Elaine Rosemary Maccollom, PT
• Ivette J Macias Zambrano
• Charlie Mack II, EP
• Maddox Chiropractic Center LLC
• Joseph S Maddox Jr., DC
• Martha W Maddox, L.M.T.

• Physical Therapist in Seminole, FL
• Providers in Seminole, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.