Active NPI
Kory Lewis Stewart, PTA
- Physical Therapy Assistant
- North Liberty, IA
National Provider Identifier
1760029375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 092373
- Practice address
- 220 Sugar Creek LN Apt 5
North Liberty, IA 52317-9414 - Phone
- (319) 759-5021
- NPI assigned
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 092373 | IA | Primary |
Addresses
Primary practice location
220 Sugar Creek LN Apt 5
North Liberty, IA 52317-9414
Mailing address
220 Sugar Creek LN Apt 5
North Liberty, IA 52317-9414
Phone (319) 759-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092373 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1760029375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SUGAR CREEK LN APT 5",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179414",
"telephone_number": "319-759-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SUGAR CREEK LN APT 5",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179414",
"telephone_number": "319-759-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KORY",
"middle_name": "LEWIS",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "092373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
- Steindler North Liberty Ambulatory Surgery Center LLC
- Steindler Orthopedic Clinic PLC
- Steindler Orthopedic Clinic, PLC
- Stevens Family Chiropractic, P.C.
- Joseph Richard Stevens, D.C.
- Laurie Kay Stonewall-Johnson, OT
- Colin Strabala, DPT
- Stride PT & Wellness
- Strong Counseling, PLC
- Whitney Claire Struchen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.