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NPI Code Detail

MEDICARE: ROSS E STUART PT

MEDICARE: ROSS E STUART PT
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
1225100000XPhysical TherapistPT36061FL
2225100000XPhysical Therapist11250SC

General Provider Information

NPI Number : 1760078315
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS E STUART PT
Provider Business Mailing Address
First Line : 1650 LYNDON FARM CT STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5005
Country : US
Telephone Number : 502-882-9379
Fax Number : 502-587-5728
Provider Business Practice Location Address
First Line : 7580 CHARLOTTE HWY STE 1100
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-7803
Country : US
Telephone Number : 803-548-5662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2020
Last Update Date : 11/11/2024

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Directions to “ ROSS E STUART PT” Practice Location

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