Rick D. Stewart, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002825 Issued in WA

Practice address

15435 Main St. N E
Suite 101
Duvall, WA 98019

Phone

(425) 788-0505

Fax

(425) 788-3340

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Physical Rehabilitation LLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1437349198
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801973995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190161",
            "telephone_number": "425-788-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 MAIN ST. N E",
            "address_2": "SUITE 101",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "98019",
            "telephone_number": "425-788-0505",
            "fax_number": "425-788-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RICK",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7090558",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "049194",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Christine Smythe, M.S, LMFT
• Sno-Valley Family Medicine
• Snoqualmie Valley Midwifery & Women'S Health, LLC
• Carson Christopher Sojka
• Jeranice Evangeline Stanley, RPH
• Catherine Elisabeth Stolp, LM, MSC
• Vidya M Subramanian
• Thushyanthi Suntharalingam, D.D.S.
• Elbetel Tamru
• The Camelot Society

• Physical Therapist in Duvall, WA
• Providers in Duvall, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.