| Richard Stewart, PT, DPT, OCS | |
|
703 N Us 29 Hwy, China Grove, NC 28023-2617 | |
| (704) 859-5040 | |
| (704) 856-8815 |
| Full Name | Richard Stewart |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 703 N Us 29 Hwy, China Grove, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063522647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | P10199 (North Carolina) | Primary |
| Provider Name | Abundant Life Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023723798 PECOS PAC ID: 0749645844 Enrollment ID: O20230425000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Stewart, PT, DPT, OCS 133 Riding Trl, Mooresville, NC 28117-9165 Ph: (704) 578-1374 | Richard Stewart, PT, DPT, OCS 703 N Us 29 Hwy, China Grove, NC 28023-2617 Ph: (704) 859-5040 |
Kelly Susan Dwiggins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Jandale Ct, China Grove, NC 28023 Phone: 704-857-6140 | |
Dr. Lori Rose Klees, DPT, OT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 Highway 29n, China Grove, NC 28115 Phone: 727-385-8159 | |
Joshua Seth Shoaf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 N Us 29 Hwy, China Grove, NC 28023 Phone: 704-859-5040 Fax: 704-856-8815 | |
Kayla Miranda Morrow Jester, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 703 N Us 29 Hwy, China Grove, NC 28023 Phone: 704-859-5040 Fax: 704-856-8815 | |
Michelle Hopkins, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 Kimball Rd, China Grove, NC 28023 Phone: 704-603-1352 | |
Cress Goodnight, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Kimball Rd, China Grove, NC 28023 Phone: 704-639-0055 |