Individual provider Active NPI

John Barry Lewis, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1144850629
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02165900 Issued in NJ
Practice address
12500 E Iliff Ave Ste 300
Denver, CO 80014-1268
Phone
(303) 731-4620
Fax
(303) 731-4602
NPI assigned
Jan 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0016759 CO
Physical Therapist 225100000X PTL0016759 MA
Physical Therapist 225100000X 40QA02165900 NJ Primary

Addresses

Primary practice location

12500 E Iliff Ave Ste 300
Denver, CO 80014-1268

Mailing address

8501 E Alameda Ave Unit 1817
Denver, CO 80230-6055
Phone (973) 981-0384

Other practice location 1

16522 Keystone Blvd Ste N
Parker, CO 80134-3302
Phone (303) 840-7325

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016759COMDPhysical Therapist
PTL0016759MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Attain Physical Therapy Physical Therapist CurrentSince Oct 23, 2023 Accepting new patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Brainwave Neuro Rehab Services LLC Physical Therapist CurrentSince Dec 10, 2023 Accepting new patients

Locations

12500 E Iliff Ave
Ste 300
Denver, CO 80014
Phone (303) 730-4620

1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1144850629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 E ALAMEDA AVE UNIT 1817",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306055",
            "telephone_number": "973-981-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800141268",
            "telephone_number": "303-731-4620",
            "fax_number": "303-731-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16522 Keystone Blvd Ste N",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343302",
            "country_code": "US",
            "telephone_number": "303-840-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016759",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL0016759",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02165900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.