Active NPI
Kallie Stewart, DPT
- Physical Therapist
- Gonzales, LA
National Provider Identifier
1962157776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10274
- Practice address
- 13025 Highway 44 Ste 101-103
Gonzales, LA 70737-6855 - Phone
- (225) 726-2460
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10274 | LA | Primary |
Addresses
Primary practice location
13025 Highway 44 Ste 101-103
Gonzales, LA 70737-6855
Mailing address
40465 Misty Oak CT
Prairieville, LA 70769-5455
Phone (225) 454-2325
Other names 1
- Ms. Kallie Wright
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10274 | LA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1962157776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40465 MISTY OAK CT",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707695455",
"telephone_number": "225-454-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13025 HIGHWAY 44 STE 101-103",
"city": "GONZALES",
"state": "LA",
"postal_code": "707376855",
"telephone_number": "225-726-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KALLIE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALLIE",
"last_name": "WRIGHT",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.