Individual provider Active NPI

Rodney Douglas Stewart, RPT

  • Physical Therapist
  • Ashland, OR
National Provider Identifier
1730148875
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OR-4795 Issued in OR
Practice address
1801 Hwy 99 N Ste 1
Ashland, OR 97520-9152
Phone
(541) 482-9051
NPI assigned
Mar 18, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NV-1312 NV
Physical Therapist 225100000X OR-4795 OR Primary

Addresses

Primary practice location

1801 Hwy 99 N Ste 1
Ashland, OR 97520-9152

Mailing address

1801 Hwy 99 N Ste 1
Ashland, OR 97520-9152
Phone (541) 482-9051

Other identifiers 1

IdentifierTypeStateIssuer
003404007MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040114000281 NV Practitioner - Physical Therapist in Private Practice 7517867179 Practice locations: Fallon, NV
I20040927000937 OR Practitioner - Physical Therapist in Private Practice 7517867179 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2180 Reno Hwy
Fallon, NV 89406-2629
Phone (775) 423-5233

401 Crater Lake Ave
Suite 7
Medford, OR 97504-6860
Phone (541) 772-3836

Merit-based Incentive Payment System (MIPS)

Final score
23.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4792ORMDSpecialist
NV-1312NVMDPhysical Therapist
OR-4795ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Choice Health and Wellness PLLC Physical Therapy PastSince Mar 5, 2023 Accepting new patients

Practitioners & affiliated clinicians

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.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1730148875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HWY 99 N STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-482-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HWY 99 N STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-482-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RODNEY",
        "middle_name": "DOUGLAS",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "NV-1312",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "OR-4795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003404007",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.