Active NPI
Vandana Sanghavi Lewis
- Physical Therapist
- Goldsboro, NC
National Provider Identifier
1063557577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1354
- Practice address
- 400 Old Smithfield Rd
Goldsboro, NC 27530-8464 - Phone
- (919) 581-4699
- NPI assigned
- Feb 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1354 | NC | Primary |
Addresses
Primary practice location
400 Old Smithfield Rd
Goldsboro, NC 27530-8464
Mailing address
402 S Cottonwood Dr
Goldsboro, NC 27530-9189
Phone (919) 735-0506
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063557577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S COTTONWOOD DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275309189",
"telephone_number": "919-735-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 OLD SMITHFIELD RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275308464",
"telephone_number": "919-581-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "VANDANA",
"middle_name": "SANGHAVI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "1354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
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.