Provider Demographics
NPI:1891999736
Name:STEWART, JANET LYN (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LYN
Last Name:STEWART
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 N BARTON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1910
Mailing Address - Country:US
Mailing Address - Phone:703-243-2575
Mailing Address - Fax:
Practice Address - Street 1:801 N QUINCY ST
Practice Address - Street 2:SUITE 130
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1999
Practice Address - Country:US
Practice Address - Phone:703-527-5492
Practice Address - Fax:703-527-5624
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG35-0002Medicare UPIN
VA194317Medicare UPIN