Sue Ellen Stewart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0960 Issued in OR

Practice address

12540 SW 68TH Ave
Tigard, OR 97223-8597

Phone

(503) 974-9078

Fax

(503) 974-9083

NPI assigned

Aug 31, 2006

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

• Sue Ellen Stewart Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Group practices

Connect Physical Therapy, LLCGroup PAC ID 9537302245, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connect Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Tigard, OR
  • NPI 1023386257

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1780795120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 SW 68TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238597",
            "telephone_number": "503-974-9078",
            "fax_number": "503-974-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 SW 68TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238597",
            "telephone_number": "503-974-9078",
            "fax_number": "503-974-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "STEWART",
            "middle_name": "ELLEN",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda L Stevens, C.N.A
• Traci Stevens, DPT
• Cindara Stewart
• Deanna Stewart
• Peggy Anne Stewart
• Kathleen Stidd, MA CMFC, MAT
• Bradley Michael Stiefel, PA-C
• Genevieve Stiers
• Katherine Rebekkah Stimson, LMT
• Rebekah Stines, MSPC, LPC INTERN

• Physical Therapist in Tigard, OR
• Providers in Tigard, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.