Active NPI
Carole Lewis, PT, GCS, PHD
- Physical Therapist
- Washington, DC
National Provider Identifier
1033198874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 674
- Practice address
- 1150 18TH St NW
Suite LL4
Washington, DC 20036-3816 - Phone
- (202) 775-1777
- Fax
- (202) 775-0832
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 674 | DC | Primary |
| Physical Therapist | 225100000X | 14936 | MD | |
| Physical Therapist | 225100000X | 2305202970 | VA |
Addresses
Primary practice location
1150 18TH St NW
Suite LL4
Washington, DC 20036-3816
Mailing address
7032 Winterberry LN
Bethesda, MD 20817-2960
Phone (301) 229-5030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 674 | DC | MD | Physical Therapist |
| 14936 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033198874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 WINTERBERRY LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172960",
"telephone_number": "301-229-5030",
"fax_number": "301-263-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 18TH ST NW",
"address_2": "SUITE LL4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363816",
"telephone_number": "202-775-1777",
"fax_number": "202-775-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CAROLE",
"credential": "PT, GCS, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT 674",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "14936",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305202970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.