Organization Active NPI

Lewis Pelvic Floor Therapy PLLC

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1174962252
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202475 Issued in VA
Legal business name
LEWIS PELVIC FLOOR THERAPY PLLC
Practice address
3040 Berkmar Dr
Suite a
Charlottesville, VA 22901-1593
Phone
(434) 960-4434
Fax
(434) 260-8681
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Lisa Lewis, PT, MS
Title
Owner
Phone
(434) 960-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305202475 VA Primary

Addresses

Primary practice location

3040 Berkmar Dr
Suite a
Charlottesville, VA 22901-1593

Mailing address

3040 Berkmar Dr
Suite a
Charlottesville, VA 22901-1593
Phone (434) 960-4434

National Provider Directory

National Provider Directory

Locations

3040 Berkmar Dr
Ste A
Charlottesville, VA 22901
Phone (434) 589-3694

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1174962252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BERKMAR DR",
            "address_2": "SUITE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011593",
            "telephone_number": "434-960-4434",
            "fax_number": "434-260-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 BERKMAR DR",
            "address_2": "SUITE A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011593",
            "telephone_number": "434-960-4434",
            "fax_number": "434-260-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PELVIC FLOOR THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-960-4434",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.