Provider Demographics
NPI:1306643671
Name:STEWART, JENNIFER AMES (DPT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:AMES
Last Name:STEWART
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MARKET ST STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3350
Mailing Address - Country:US
Mailing Address - Phone:855-902-2777
Mailing Address - Fax:
Practice Address - Street 1:455 MARKET ST STE 700
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3350
Practice Address - Country:US
Practice Address - Phone:855-902-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic