Individual provider Active NPI

Annie Grace Stewart, PT, DPT

  • Pediatric Physical Therapist
  • Bethlehem, PA
National Provider Identifier
1770148884
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT0277522 Issued in PA
Practice address
1770 Bathgate Rd
Bethlehem, PA 18017-7334
Phone
(484) 884-5437
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT0277522 PA Primary

Addresses

Primary practice location

1770 Bathgate Rd
Bethlehem, PA 18017-7334

Mailing address

701 Harrison St Apt 120
Allentown, PA 18103-3050
Phone (570) 898-5593

Other practice location 1

3701 Corriere Rd
Easton, PA 18045-7991
Phone (484) 591-7070

Other identifiers 1

IdentifierTypeStateIssuer
PT027522OtherPACOMMONWEALTH OF PENNSYLVANIA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0277522PAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1770148884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HARRISON ST APT 120",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033050",
            "telephone_number": "570-898-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 BATHGATE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177334",
            "telephone_number": "484-884-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Corriere Rd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180457991",
            "country_code": "US",
            "telephone_number": "484-591-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ANNIE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT0277522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA",
            "identifier": "PT027522",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.