Individual provider Active NPI

Scott Allen Lewis

  • Physical Therapist
  • Austin, MN
National Provider Identifier
1033433289
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5221 Issued in MN
Practice address
1700 17TH St NW Ste 2D
Austin, MN 55912-3486
Phone
(507) 433-8139
Fax
(507) 481-5665
NPI assigned
Mar 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5221 MN Primary

Addresses

Primary practice location

1700 17TH St NW Ste 2D
Austin, MN 55912-3486

Mailing address

1700 17TH St NW Ste 2D
Austin, MN 55912-3486
Phone (507) 433-8139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519000652 MN Practitioner - Physical Therapist in Private Practice 1951700202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 17TH St NW
Suite 2D
Austin, MN 55912-3486
Phone (507) 433-8139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5221MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Outpatient Physical Therapy Services CurrentSince Apr 26, 2021 Accepting new patients

Locations

1700 17th St NW
Ste 2D
Austin, MN 55912
Phone (507) 433-8139

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1033433289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW STE 2D",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123486",
            "telephone_number": "507-433-8139",
            "fax_number": "507-481-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 17TH ST NW STE 2D",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123486",
            "telephone_number": "507-433-8139",
            "fax_number": "507-481-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.