Individual provider Active NPI

Martin Robert Stewart, PT, DPT

  • Physical Therapist
  • Sylacauga, AL
National Provider Identifier
1952777583
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7706 Issued in AL
Practice address
1035 W Fort Williams St
Sylacauga, AL 35150-2301
Phone
(256) 249-4701
NPI assigned
Aug 18, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7706 AL Primary

Addresses

Primary practice location

1035 W Fort Williams St
Sylacauga, AL 35150-2301

Mailing address

79 Riverside Dr
Childersburg, AL 35044-1331
Phone (256) 404-4759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104001417 AL Practitioner - Physical Therapist in Private Practice 5991015950 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

1302 Gunter Ave
Guntersville, AL 35976-1844
Phone (256) 860-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Therapy South Gadsden LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Sixfourthree, LLC CurrentSince Sep 15, 2023 Accepting new patients
Star Physical Therapy LLC CurrentSince Aug 18, 2015 Accepting new patients
Sixfourthree, LLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

465 George Wallace Dr
Gadsden, AL 35903
Phone (256) 439-1550

1302 Gunter Ave
Guntersville, AL 35976
Phone (256) 860-4050

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

106 6th St S
Oneonta, AL 35121
Phone (205) 460-3817

1035 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 249-4701

Organizations & group practices 5

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1952777583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RIVERSIDE DR",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441331",
            "telephone_number": "256-404-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W FORT WILLIAMS ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502301",
            "telephone_number": "256-249-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.