Fawn Lewis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8133471495 Issued in CO

Practice address

16055 Old Forest PT Ste 101B
Monument, CO 80132-8670

Phone

(719) 247-8916

NPI assigned

Jan 31, 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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northgate Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Monument, CO
  • NPI 1942548839
  NPD

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1104457787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 101B",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-247-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 101B",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-247-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "FAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "8133471495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Abigail Laviner, DPT
• Elizabeth Anne Lazzelle Rogers, LPC
• Ross Ledgerwood, NP
• Jessica Leffler
• Hae Kyoung Lemos
• Alan Amasa Libby
• Mitchell Brent Liester, M.D.
• Audra Littlewood I, PHARM.D
• Live Your Best Life Psychiatry PLLC
• Kandra Kay Lovato, B.S.P.T.

• Physical Therapy Assistant in Monument, CO
• Providers in Monument, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.