Individual provider Active NPI

Maggie L Stewart, PTA

  • Physical Therapy Assistant
  • Chagrin Falls, OH
National Provider Identifier
1851944391
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06462 Issued in OH
Practice address
200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870
Phone
(440) 247-4676
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06462 OH Primary

Addresses

Primary practice location

200 Hamlet Hills Dr
Chagrin Falls, OH 44022-2870

Mailing address

8370 Markwood Dr
Mentor, OH 44060-2210
Phone (440) 994-4025

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mk102916@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06462OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1851944391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 MARKWOOD DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602210",
            "telephone_number": "440-994-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAMLET HILLS DR",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222870",
            "telephone_number": "440-247-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MAGGIE",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mk102916@gmail.com",
            "affiliation": "N",
            "address_1": "200 Hamlet Hills Dr",
            "city": "Chagrin Falls",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440222870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.