Ronald Trent Lewis, DPT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Hohenwald, TN
NPI 1154465334 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154465334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 0000007410 (TN)
- Practice address
- 617 W Main St
Hohenwald, TN 38462-1355 - Phone
- (931) 381-1111
- Fax
- (931) 380-4108
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 0000007410 | TN | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0000007410 | TN | Yes |
Addresses
Primary practice location
617 W Main St
Hohenwald, TN 38462-1355
Mailing address
617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 381-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000007410 | Other | TN | OPERATING LICENSE |
Other providers in Hohenwald, TN
- Abbe Lynn Lawdon
- Lewis County Nursing and Rehabilitation Center LLC
- Lewis County Schools
- Lewis County Senior Center
- Lewis Hawk Distribution Inc
- Delicia Brooke Mangrum
- Maury Regional Hospital
- Maury Regional Hospital
- Maury Regional Hospital
- Maury Regional Hospital
All providers in Hohenwald, TN · Physical Medicine & Rehabilitation Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.