Provider Demographics
NPI:1225583008
Name:STEWART, JOSHUA RAYMOND (DPT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:RAYMOND
Last Name:STEWART
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 NW 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-9371
Mailing Address - Country:US
Mailing Address - Phone:319-238-1908
Mailing Address - Fax:
Practice Address - Street 1:600 OPP DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-4493
Practice Address - Country:US
Practice Address - Phone:850-301-1935
Practice Address - Fax:850-301-1937
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist