Active NPI
Trevor Stewart, DPT
- Physical Therapist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210648
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 84.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305210648 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Lucas Emg Specialists | Physical Therapist | Current | 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.
-
- Physical Therapist
- Roanoke, VA
- NPI 1285774745
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.