IndividualActive
Mitchel Ideue, PT
NPI 1073661294 · Physical Therapist · Fort Stewart, GA
Provider details
- NPI number
- 1073661294
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Winn Army Community Hospital
1061 Harmon Ave
Fort Stewart, GA 31314
Phone: (808) 953-8522
Approximate (ZIP-level) locationGet directions
Mailing address
Winn Army Community Hospital
Fort Stewart, GA 31314
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.