Active NPI
Shannon Dolores Stewart, PTA
- Physical Medicine & Rehabilitation Physician
- Lansdale, PA
National Provider Identifier
1790592368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- TEI006533
- Practice address
- 25 W 5TH St
Lansdale, PA 19446-2424 - Phone
- (215) 855-9765
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | TEI006533 | PA | Primary |
Addresses
Primary practice location
25 W 5TH St
Lansdale, PA 19446-2424
Mailing address
106 Indian Creek Way
Chalfont, PA 18914-2138
Phone (215) 500-7676
Other practice location 1
2425 Lower State Rd
Doylestown, PA 18901-2631
Phone (215) 489-7117
Other practice location 2
2630 Woodland Rd
Abington, PA 19001-3013
Phone (215) 884-6776
Other practice location 3
773 Sumneytown Pike
Lansdale, PA 19446-5301
Phone (215) 699-5000
Other practice location 4
1801 Susquehanna Rd
Abington, PA 19001-4622
Phone (215) 576-8899
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 |
|---|---|---|---|
| TEI006533 | PA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1790592368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 INDIAN CREEK WAY",
"city": "CHALFONT",
"state": "PA",
"postal_code": "189142138",
"telephone_number": "215-500-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W 5TH ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462424",
"telephone_number": "215-855-9765"
}
],
"practiceLocations": [
{
"address_1": "2425 Lower State Rd",
"address_purpose": "LOCATION",
"city": "Doylestown",
"state": "PA",
"postal_code": "189012631",
"country_code": "US",
"telephone_number": "215-489-7117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2630 Woodland Rd",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013013",
"country_code": "US",
"telephone_number": "215-884-6776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "773 Sumneytown Pike",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "194465301",
"country_code": "US",
"telephone_number": "215-699-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 Susquehanna Rd",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190014622",
"country_code": "US",
"telephone_number": "215-576-8899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "SHANNON",
"middle_name": "DOLORES",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "TEI006533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
- Stanley J Heleniak DMD Associates PC (North Penn Dental Arts)
- Thomas Ryan States, PTA
- Wendy Stathos, LPC
- Jillian Leigh Stauffer, PA-C
- Arthur Stein, D.D.S.
- Jeffrey Paul Strikowsky, D.C.
- Lisa M Stringfellow, CRNP
- Strohecker - Beckett Orthodontics
- Strohecker Orthodontic Associates
- Jamie B. Stroud, PH.D., LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.