Organization Active NPI

Stewart Therapy

  • Physical Therapist
  • Laveen, AZ
National Provider Identifier
1760963060
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4222 Issued in AZ
Legal business name
STEWART THERAPY
Practice address
5045 W Baseline Rd Ste 120
Laveen, AZ 85339-7393
Phone
(602) 237-1105
Fax
(602) 237-1106
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Ms. Tanya Peck-Devenport
Title
Billing Manager
Phone
(623) 236-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4222 AZ Primary

Addresses

Primary practice location

5045 W Baseline Rd Ste 120
Laveen, AZ 85339-7393

Mailing address

5045 W Baseline Rd Ste 120
Laveen, AZ 85339-7393
Phone (602) 237-1105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1760963060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 120",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397393",
            "telephone_number": "602-237-1105",
            "fax_number": "602-237-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD STE 120",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397393",
            "telephone_number": "602-237-1105",
            "fax_number": "602-237-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "PECK-DEVENPORT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "623-236-2545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

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