Heather Lewis
Individual provider Active NPI Physical Therapist · Wenham, MA
NPI 1013453992 · NPPES record last updated Jan 16, 2017
Key facts
- NPI
- 1013453992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13395 (MA)
- Practice address
- 255 Grapevine Rd
Wenham, MA 01984-1813 - Phone
- (978) 867-4095
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gordon College
Practice addresses (Care Compare)
255 Grapevine Rd
Wenham, MA 01984-1813
Phone (978) 867-4095
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001017 | MA | Practitioner - Physical Therapist in Private Practice | 0648554014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon College | Physical Therapist | Current |
Accepting new patients |
Locations
255 Grapevine Rd
Wenham, MA 01984
Phone (978) 524-0000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13395 | MA | Yes |
Addresses
Primary practice location
255 Grapevine Rd
Wenham, MA 01984-1813
Mailing address
255 Grapevine Rd
Wenham, MA 01984-1813
Phone (978) 867-4095
Other providers in Wenham, MA
- Jill J. Jackson
- Stephanie Kalanta
- Amy Kolano
- Katherine Larson
- Andre J. Leblanc
- Jane Lindland
- Marie Lucey
- Joanne Marie Lynch
- Elizabeth Maccurrach
- Marie Lucey, PC
All providers in Wenham, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.