Active NPI
Michael Stewart
- Physical Therapist
- Concord, NC
National Provider Identifier
1780005181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9590
- Practice address
- 1262 Turning Leaf St NW
Concord, NC 28027-3522 - Phone
- (704) 795-7185
- NPI assigned
- Jan 2, 2014
- 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 Therapist | 225100000X | 9590 | NC | Primary |
Addresses
Primary practice location
1262 Turning Leaf St NW
Concord, NC 28027-3522
Mailing address
1262 Turning Leaf St NW
Concord, NC 28027-3522
Phone (704) 795-7185
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 |
|---|---|---|---|
| 9590 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1780005181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 TURNING LEAF ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273522",
"telephone_number": "704-795-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 TURNING LEAF ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273522",
"telephone_number": "704-795-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.