Individual provider Active NPI

Sharon Gail Kimrey-Stewart, PTA

  • Physical Therapy Assistant
  • McCune, KS
National Provider Identifier
1861895096
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02736 Issued in KS
Practice address
501 Elm St
MC Cune, KS 66753-8106
Phone
(620) 238-1922
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 14-02736 KS Primary

Addresses

Primary practice location

501 Elm St
MC Cune, KS 66753-8106

Mailing address

501 Elm St
MC Cune, KS 66753-8106
Phone (620) 238-1922

Other names 1

  • Sharon Gail Stewart Other name

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
14-02736KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1861895096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ELM ST",
            "city": "MC CUNE",
            "state": "KS",
            "postal_code": "667538106",
            "telephone_number": "620-238-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ELM ST",
            "city": "MC CUNE",
            "state": "KS",
            "postal_code": "667538106",
            "telephone_number": "620-238-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMREY-STEWART",
        "first_name": "SHARON",
        "middle_name": "GAIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "STEWART",
            "middle_name": "GAIL",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McCune, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.