Active NPI
Donna Diane Lewis, PT, DPT
- Pediatric Physical Therapist
- Little Rock, AR
National Provider Identifier
1073644696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 380
- Practice address
- 824 N Tyler St
Little Rock, AR 72205-3535 - Phone
- (501) 664-2961
- Fax
- (501) 664-6208
- NPI assigned
- Mar 7, 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 380 | AR | Primary |
Addresses
Primary practice location
824 N Tyler St
Little Rock, AR 72205-3535
Mailing address
1320 Robb CT
Little Rock, AR 72223-6500
Phone (501) 821-9980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francis a. Allen School for Exceptional Children, Inc. | Past | Accepting new patients | |
| Francis a. Allen School for Exceptional Children, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmentally Disabled Services Day Training Agency
- Little Rock, AR
- NPI 1093847113
-
- Developmentally Disabled Services Day Training Agency
- Little Rock, AR
- NPI 1942853783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073644696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 ROBB CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722236500",
"telephone_number": "501-821-9980",
"fax_number": "501-664-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N TYLER ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053535",
"telephone_number": "501-664-2961",
"fax_number": "501-664-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DONNA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
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.