Active NPI
Jeffrey Todd Stewart, P.T.
- Physical Therapist
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0105271
- Practice address
- 564 Hoosick St
Troy, NY 12180-2106 - Phone
- (518) 273-2715
- Fax
- (518) 273-2815
- NPI assigned
- Mar 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 Therapist | 225100000X | 0105271 | NY | Primary |
Addresses
Primary practice location
564 Hoosick St
Troy, NY 12180-2106
Mailing address
564 Hoosick St
Troy, NY 12180-2106
Phone (518) 273-2715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02250902 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
12 Mall Way
Suite 7
West Sand Lake, NY 12196-2062
Phone (518) 674-1744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105271 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
42 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-6861
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Physical Therapist
- Scotia, NY
- NPI 1669553376
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- Amsterdam, NY
- NPI 1326129081
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
-
- Physical Therapist
- West Sand Lake, NY
- NPI 1124101977
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831167527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 HOOSICK ST",
"city": "TROY",
"state": "NY",
"postal_code": "121802106",
"telephone_number": "518-273-2715",
"fax_number": "518-273-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 HOOSICK ST",
"city": "TROY",
"state": "NY",
"postal_code": "121802106",
"telephone_number": "518-273-2715",
"fax_number": "518-273-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JEFFREY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0105271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02250902",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- 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.
- 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.