Stephanie Wickham Lewis, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28430 Issued in FL

Practice address

5322 Primrose Lake Cir Ste D
Tampa, FL 33647-3659

Phone

(813) 606-5088

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1013349042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 PRIMROSE LAKE CIR STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473659",
            "telephone_number": "813-606-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 PRIMROSE LAKE CIR STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473659",
            "telephone_number": "813-606-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEPHANIE",
        "middle_name": "WICKHAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT28430",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Lewis
• Sara Lewis, CBHCMS
• Sherri Lynne Lewis, RD
• Shirell Erica Lewis
• Stephanie Lorraine Chen Lewis, MD
• Theresa Lyvette Lewis, LMHC
• Tracey L Lewis, MD
• Wylordean S Lewis, CDA
• Nahomi Ley Medina
• Lydia Hope Ley, LPN

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.