Individual provider Active NPI

Marie Stewart, DPT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1841663853
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5223 Issued in ME
Practice address
6015 Pointe West Blvd
Bradenton, FL 34209-5525
Phone
(941) 792-1404
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35389 FL
Physical Therapist 225100000X PTL.0013246 CO
Physical Therapist 225100000X PT5223 ME Primary

Addresses

Primary practice location

6015 Pointe West Blvd
Bradenton, FL 34209-5525

Mailing address

4480 Deerwood Lake Pkwy Unit 542
Jacksonville, FL 32216-2271
Phone (904) 923-8333

Other practice location 1

3 Brazier Ln
Kennebunk, ME 04043-7095
Phone (207) 985-3030

Other practice location 2

9195 Grant St Ste 100
Thornton, CO 80229-4386
Phone (303) 292-0034

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013246COMDPhysical Therapist
PT35389FLMDPhysical Therapist
PT5223MEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1841663853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 DEERWOOD LAKE PKWY UNIT 542",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162271",
            "telephone_number": "904-923-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095525",
            "telephone_number": "941-792-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Brazier Ln",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040437095",
            "country_code": "US",
            "telephone_number": "207-985-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9195 Grant St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294386",
            "country_code": "US",
            "telephone_number": "303-292-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013246",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.