Jennalyn Sujan Lew, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

2970 Hilltop Mall Rd Ste 203
Richmond, CA 94806-1949

Phone

(510) 222-8000

NPI assigned

Aug 11, 2020

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

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1043821317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MARIPOSA AVE APT 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101305",
            "telephone_number": "415-533-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 203",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061949",
            "telephone_number": "510-222-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "JENNALYN",
        "middle_name": "SUJAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Leon
• Claire Lesnick, PPS
• Miriam Elaine Levine-Alcala, LCSW
• David H. Levinson, MD
• Ellen Levitt, L.M.
• Annette Lewis, LCSW 102342
• Chyann Lewis
• Jason Daniel Lewis
• Michael J Lewis
• Shante Lanice Lewis

• Orthopedic Physical Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.