Stewart Mill Medical & Rehabilitation Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STEWART MILL MEDICAL & REHABILITATION CENTER LLC

Doing business as

Stewart Pkwy Medical & Rehabilitation Center LLC

Practice address

5977 Stewart Pkwy
Douglasville, GA 30135-2371

Phone

(678) 591-9925

NPI assigned

Dec 18, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Parker

Title

Office Manager

Phone

(678) 772-4374

Specialties & licenses 2

Addresses

Other names 1

• Stewart Pkwy Medical & Rehabilitation Center LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge A Bueno, D.C

  • Nutrition Chiropractor
  • Acworth, GA
  • NPI 1114078474
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1639415706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7204",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 STEWART PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352371",
            "telephone_number": "678-591-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART MILL MEDICAL & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-772-4374"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Pkwy Medical & Rehabilitation Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khadijah Stephen, MD
• Sterility Surgical Assisting, LLC
• Steven T Boyles, OD PC
• Shaelishia Latoya Stevens
• Marnita Love Stevenson, D.D.S.
• Cordia M Stewart
• David M Stewart, RPH
• Stinson Medical Associates, Inc
• Kamasha Stinson, DNP, FNP-C
• Laura Jean Stinson, FNP-C

• Physical Therapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.