Jessica Stewart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2010011162 Issued in MO

Practice address

403 E 10TH St
Dixon, MO 65459-6049

Phone

(573) 759-2135

Fax

(573) 759-4487

NPI assigned

Jan 5, 2010

Last updated

Mar 22, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1962732529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 10TH ST",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654596049",
            "telephone_number": "573-759-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 10TH ST",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654596049",
            "telephone_number": "573-759-2135",
            "fax_number": "573-759-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005226",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010011162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kluck, COTA
• Denise Lorenz, LPC
• Carlene S McMillian, F.N.P.
• Romar Gianan Milos
• N & R of Dixon, LLC (Dixon Nursing & Rehab)
• Town & Country Super Market Inc (Country Mart Pharmacy #2416)
• Charlene Pope Windsor, RN

• Physical Therapist in Dixon, MO
• Providers in Dixon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.