Audreana Lewis
Individual provider Active NPI Physical Therapist · Glasgow, WV
NPI 1134091697 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1134091697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004748 (WV)
- Practice address
- 120 Melrose Dr
Glasgow, WV 25086 - Phone
- (304) 595-1155
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004748 | WV | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 004748 | WV | Yes |
Addresses
Primary practice location
120 Melrose Dr
Glasgow, WV 25086
Mailing address
147 Helen St
Lesage, WV 25537-2260
Phone (304) 840-3811
Other providers in Glasgow, WV
- Glasgow Hills of Journey, LLC
- Glasgow Operating Company LLC
- Mary Hayden
- Andrea S Hinkle
- Brianna Paige Jarvis
- Patricia R McClure
- Elizabeth Susan Thomas
- Amanda Webb
All providers in Glasgow, WV · Physical Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.