Individual provider Active NPI

Kantessa Stewart

  • Occupational Therapist
  • Sidney, OH
National Provider Identifier
1942498340
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4765 Issued in OH
Practice address
300 3Rd Ave
Sidney, OH 45365-1116
Phone
(800) 824-9861
Fax
(937) 438-8630
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4765 OH Primary

Addresses

Primary practice location

300 3Rd Ave
Sidney, OH 45365-1116

Mailing address

6551 Centerville Business Pkwy Ste 120
Centerville, OH 45459-2696
Phone (937) 415-9100

Other identifiers 1

IdentifierTypeStateIssuer
0073226MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000252 OH Practitioner - Occupational Therapist in Private Practice 5698858488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
70.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4765OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of S W Ohio Inc, CurrentSince May 15, 2008 Accepting new patients
Orthopedic Associates of SW Ohio, Inc CurrentSince May 15, 2008 Accepting new patients
Bellefontaine Physical Therapy LTD PastSince Jan 1, 2001 Accepting new patients

Locations

6551 Centerville Business Pkwy
Ste 120
Dayton, OH 45459
Phone (937) 428-0400

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400

909 E 2nd St
Franklin, OH 45005
Phone (937) 746-8357

300 3rd Ave
Sidney, OH 45365
Phone (937) 710-4786

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1942498340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 CENTERVILLE BUSINESS PKWY STE 120",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592696",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651116",
            "telephone_number": "800-824-9861",
            "fax_number": "937-438-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KANTESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "4765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.