Individual provider Active NPI

Trevor Stewart, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1982154746
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210648 Issued in VA
Practice address
1831 Wiehle Ave
2ND Floor
Reston, VA 20190
Phone
(703) 709-1116
Fax
(703) 709-5134
NPI assigned
Oct 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 2305210648 VA Primary

Addresses

Primary practice location

1831 Wiehle Ave
2ND Floor
Reston, VA 20190

Mailing address

535 Campbell Ave SW
Roanoke, VA 24016-3605
Phone (540) 772-8022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000421 VA Practitioner - Physical Therapist in Private Practice 3173802360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas Physical Therapy Inc 13 clinicians

Practice addresses (Care Compare)

109 Knotbreak Rd
Salem, VA 24153-5404
Phone (540) 772-8022

1967 Electric Rd
Suite 10
Salem, VA 24153-7424
Phone 5407728022540816

4325 Brambleton Ave
Suite a
Roanoke, VA 24018-3404
Phone (540) 772-8022

Merit-based Incentive Payment System (MIPS)

Final score
25.37 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210648VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Physical Therapy Inc Physical Therapist CurrentSince Oct 29, 2021 Accepting new patients
Lucas Emg Specialists Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

4325 Brambleton Ave
Ste A
Roanoke, VA 24018

535 Campbell Ave SW
Roanoke, VA 24016
Phone (917) 703-9977

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1982154746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163605",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WIEHLE AVE",
            "address_2": "2ND FLOOR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-709-1116",
            "fax_number": "703-709-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TREVOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.