Nicole Stewart

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.02837 Issued in OH

Practice address

2910 Lermitage PL
Stow, OH 44224-5219

Phone

(330) 688-1188

Fax

(330) 688-1278

NPI assigned

Jan 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole Marie McKenzie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1770949463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 CHARLES ST",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601549",
            "telephone_number": "330-688-1188",
            "fax_number": "330-688-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 LERMITAGE PL",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245219",
            "telephone_number": "330-688-1188",
            "fax_number": "330-688-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA.02837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MCKENZIE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tommy A Starcher
• Dari C Starkey, M.S., R.D./L.D.
• Eric Brian Steiner, LPN
• Sterling Home Care, LLC
• Nadine Sterling, LICENSED OPTICIAN
• Donna Jean Stokes
• Maureen Sue Stone
• Stow Al Operations, LLC
• Stow Chiropractic Health Center
• Stow Dental Group, Inc.

• Physical Therapy Assistant in Stow, OH
• Providers in Stow, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.