MEDICARE: BEATRICE BROWN STEWART DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP048762T	NC
2	225100000X	Physical Therapist	11276	SC

General Provider Information

NPI Number	:	1427776970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRICE BROWN STEWART DPT

Provider Business Mailing Address
First Line	:	505 LAUCHWOOD DR
Second Line	:
City	:	LAURINBURG
State	:	NC
Zip	:	28352-5502
Country	:	US
Telephone Number	:	910-501-4423
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 LAUCHWOOD DR
Second Line	:
City	:	LAURINBURG
State	:	NC
Zip	:	28352-5502
Country	:	US
Telephone Number	:	910-501-4423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	05/18/2026

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