Samantha M Lewis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17445 Issued in CO

Practice address

607 10TH St Ste 100
Golden, CO 80401-1053

Phone

(720) 432-6166

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden Endurance, LLC

  • Physical Therapy Clinic/Center
  • Golden, CO
  • NPI 1083348031
  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1013507474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031352",
            "telephone_number": "719-684-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 10TH ST STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011053",
            "telephone_number": "720-432-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Shay Lensegrav, ND
• Michael John Lersten, M.D.
• Dean Levesque, PA-C
• Adam Scott Levy, MD
• Gweneth Levy, MD
• Lifestyle Hearing Corporation USA Inc
• Philip J Lightstone, MD
• Lil' Sprouts Pediatric Therapy Services
• Brittany C Lillard, PA-C
• Stephanie Lillibridge, AGNP-C

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.