Mary Alliot-Stewart, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0941 Issued in TN

Practice address

811 Keylon St
Manchester, TN 37355-2413

Phone

(931) 580-5997

Fax

(855) 232-8404

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1952960692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KEYLON ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552413",
            "telephone_number": "931-580-5997",
            "fax_number": "855-232-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KEYLON ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552413",
            "telephone_number": "931-580-5997",
            "fax_number": "855-232-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIOT-STEWART",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Manchester, TN
• Providers in Manchester, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.