Kelli Stewart-Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3843 Issued in MD

Practice address

8926 Woodyard Rd
701
Clinton, MD 20735-4220

Phone

(301) 856-1682

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1851721773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 KENNEBEC ST",
            "address_2": "APT 2E",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453342",
            "telephone_number": "301-466-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "701",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-856-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-JOHNSON",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3843",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard Healthcare Plus LLC
• Laura A Stanfield, PA-C
• Randolph Stanley
• Gary S Staples, M.D.
• Nicarssia Nicoleherndon Sterling
• Eleanor Steele Stewart, M.D.
• Stick With Me Inc.
• Still I Rise, Inc
• Still I Rise, Inc
• Linda Elaine Studevent-Ward, LICSW, LCSW-C

• Physical Therapy Assistant in Clinton, MD
• Providers in Clinton, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.