Individual provider Active NPI

Shannon Dolores Stewart, PTA

  • Physical Medicine & Rehabilitation Physician
  • Lansdale, PA
National Provider Identifier
1790592368
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
TEI006533 Issued in PA
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

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
TEI006533PAMDPhysical 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

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.

Verify at the official NPI Registry.