Jeffrey Todd Stewart, P.T.
Individual provider Active NPI Physical Therapist · Troy, NY
NPI 1831167527 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831167527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0105271 (NY)
- Practice address
- 564 Hoosick St
Troy, NY 12180-2106 - Phone
- (518) 273-2715
- Fax
- (518) 273-2815
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000791 | NY | Practitioner - Physical Therapist in Private Practice | 7416921770 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105271 | NY | MD | Physical Therapist |
| 010527 | NY | MD | Physician Assistant |
Practice roles (7 of 11)
| 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 H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0105271 | NY | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02250902 | Medicaid | NY |
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.