Provider Demographics
NPI:1154834349
Name:STEWART, ADRIENNE MAE (DPT)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:MAE
Last Name:STEWART
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:MAE
Other - Last Name:CARRIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2823 GREYSTONE COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2660
Mailing Address - Country:US
Mailing Address - Phone:205-745-3660
Mailing Address - Fax:
Practice Address - Street 1:6485 UNIVERSITY DR NW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1715
Practice Address - Country:US
Practice Address - Phone:256-513-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09839225100000X
ALPTH10578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA09839OtherPT STATE LICENSE