Jonathan David Stewart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302214 Issued in MI

Practice address

709 W Superior St
Wayland, MI 49348-1226

Phone

(269) 792-4440

Fax

(616) 965-2475

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)
• Physical Therapy One, P.C.

  • Physical Therapist
  • Portage, MI
  • NPI 1962499855
  NPD (past)
• Northern Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lyndonville, VT
  • NPI 1164509980

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1629792056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481226",
            "telephone_number": "269-792-4440",
            "fax_number": "616-965-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13329 Portage Rd",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MI",
            "postal_code": "490979496",
            "country_code": "US",
            "telephone_number": "269-649-2400",
            "fax_number": "269-649-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3282 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081527",
            "country_code": "US",
            "telephone_number": "269-375-1400",
            "fax_number": "269-375-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4095 Park East Ct SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468299",
            "country_code": "US",
            "telephone_number": "616-259-4028",
            "fax_number": "616-259-4032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 W Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490245323",
            "country_code": "US",
            "telephone_number": "269-323-4300",
            "fax_number": "269-323-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Thaddeus Smolarkiewicz, OTR
• Jacob Sobeck, PT, DPT
• Spectrum Health United
• Andrew Stanley, D.O.
• Chad William Sterk, DPT
• Elizabeth Stouffer, DDS
• Alicia Marie Strunk, DC
• Technical Professional Services Incorporated
• Carolyn Tenbroeke
• Debra Ann Timmerman, RN

• Physical Therapist in Wayland, MI
• Providers in Wayland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.