NPIMap

Organization Active NPI

Stewart Physical Therapy LLC

  • Physical Therapist
  • Germantown, TN
National Provider Identifier
1649782822
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEWART PHYSICAL THERAPY LLC
Practice address
2136 Exeter Rd Ste 102
Germantown, TN 38138-3935
Phone
(901) 480-8336
NPI assigned
Oct 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. James R Haynes III
Title
Manager
Phone
(662) 710-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2136 Exeter Rd Ste 102
Germantown, TN 38138-3935

Mailing address

896 River Park Dr
Memphis, TN 38103-0804
Phone (901) 233-6815

Other practice location 1

896 River Park Dr
Memphis, TN 38103-0804
Phone (901) 233-6815

National Provider Directory

National Provider Directory

Locations

2136 Exeter Rd
Ste 102
Germantown, TN 38138
Phone (901) 480-8336

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649782822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 RIVER PARK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381030804",
            "telephone_number": "901-233-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 EXETER RD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383935",
            "telephone_number": "901-480-8336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 River Park Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381030804",
            "country_code": "US",
            "telephone_number": "901-233-6815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEWART PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-710-2844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.