Individual provider Active NPI

Susan Montagu Stewart, PT

  • Physical Therapist
  • Collegeville, PA
National Provider Identifier
1679647309
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006132L Issued in PA
Practice address
300 Springhouse Lane
Collegeville, PA 19426
Phone
(610) 489-4745
Fax
(610) 489-4209
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006132L PA Primary

Addresses

Primary practice location

300 Springhouse Lane
Collegeville, PA 19426

Mailing address

3809 W Chester Pike Ste 150
Newtown Square, PA 19073-0259
Phone (610) 359-5640

Other practice location 1

744 W Lancaster Ave Ste 125
744 W. Lancaster Ave
Wayne, PA 19087-2500
Phone (610) 688-7776

Other practice location 2

744 W Lancaster Ave Ste 125
744 W. Lancaster Ave
Wayne, PA 19087-2500
Phone (610) 688-7776

Other practice location 3

599 Arcola Rd Ste 208
Collegeville, PA 19426-3954
Phone (610) 489-4745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000507 PA Practitioner - Physical Therapist in Private Practice 7214187491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

300 Springhouse Dr
Collegeville, PA 19426-4021
Phone (610) 489-4745

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006132LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Jan 9, 2018 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Oct 1, 2012 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Jan 9, 2018 Accepting new patients
Rehabclinics SPT, Inc. Past Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

27 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-1762

300 Springhouse Dr
Ste 201
Collegeville, PA 19426
Phone (610) 489-4745

599 Arcola Rd
Ste 208
Collegeville, PA 19426
Phone (610) 489-4745

300 Springhouse Dr
Collegeville, PA 19426
Phone (610) 489-4745

3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: susan.stewart.1@22724.direct.athenahealth.com

Organizations & group practices 6

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1679647309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W CHESTER PIKE STE 150",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190730259",
            "telephone_number": "610-359-5640",
            "fax_number": "610-359-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPRINGHOUSE LANE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "610-489-4745",
            "fax_number": "610-489-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W Lancaster Ave Ste 125",
            "address_2": "744 W. Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190872500",
            "country_code": "US",
            "telephone_number": "610-688-7776",
            "fax_number": "610-688-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 W Lancaster Ave Ste 125",
            "address_2": "744 W. Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190872500",
            "country_code": "US",
            "telephone_number": "610-688-7776",
            "fax_number": "610-688-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Arcola Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263954",
            "country_code": "US",
            "telephone_number": "610-489-4745",
            "fax_number": "610-489-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SUSAN",
        "middle_name": "MONTAGU",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006132L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.