Individual provider Active NPI

Andrew Robert Stewart, DPT, OCS

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1619651759
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
21373 Issued in CO
Practice address
640 Plaza Dr Ste 110
Highlands Ranch, CO 80129-2399
Phone
(720) 497-6173
Fax
(720) 497-6778
NPI assigned
Jun 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 21373 CO Primary
Physical Therapist 225100000X 297148 CA

Addresses

Primary practice location

640 Plaza Dr Ste 110
Highlands Ranch, CO 80129-2399

Mailing address

640 Plaza Dr Ste 110
Highlands Ranch, CO 80129-2399
Phone (720) 497-6173

Other practice location 1

162 S Main St
Bishop, CA 93514-3415
Phone (760) 872-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816003150 CA Practitioner - Physical Therapist in Private Practice 5092177451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297148CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mono Health Care District CurrentSince Jun 7, 2023 Accepting new patients
Southern Mono Healthcare District PastSince Jun 11, 2023 Accepting new patients

Locations

162 S Main St
Bishop, CA 93514
Phone (760) 872-2942

Organizations & group practices 2

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1619651759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PLAZA DR STE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292399",
            "telephone_number": "720-497-6173",
            "fax_number": "720-497-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PLAZA DR STE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292399",
            "telephone_number": "720-497-6173",
            "fax_number": "720-497-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935143415",
            "country_code": "US",
            "telephone_number": "760-872-2942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "21373",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.