Lewis Outpatient Physical Therapy Services

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

LEWIS OUTPATIENT PHYSICAL THERAPY SERVICES

Doing business as

Lewis Outpatient Physical Therapy Services, LLC

Practice address

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

Phone

(507) 433-8139

Fax

(507) 433-6184

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Scott Allen Lewis, PTNPI 1033433289

Title

Owner

Phone

(507) 433-8139

Specialties & licenses 1

Addresses

Other names 1

• Lewis Outpatient Physical Therapy Services, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Allen Lewis

  • Physical Therapist
  • Austin, MN
  • NPI 1033433289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1104408558",
    "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": "507-433-6184"
        },
        {
            "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": "507-433-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS OUTPATIENT PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-433-8139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Outpatient Physical Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewis Outpatient Physical Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donnell Philippe Octavio Lazaro-Paulina, MD
• Kathryn Lea
• Suhak Lee
• Jordan Rose Leonhardt, MS, LPCC
• Johanna Rose Leuchter, D.O.
• Karen Lewis
• Michael Lewis, RPT
• Scott Allen Lewis
• Vernon M Lewis, PH.D.,L.P.
• McKenna Elizabeth Leyk, PT

• Orthopedic Physical Therapist in Austin, MN
• Providers in Austin, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.