Evan A Lewis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60745388 Issued in WA

Practice address

16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284

Phone

(425) 582-5526

Fax

(425) 245-1019

NPI assigned

Jun 27, 2017

Sex

Male

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

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hana Pono Wellness Center LLCGroup PAC ID 2365864337, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hana Pono Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Kailua, HI
  • NPI 1225659857

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Olomana Mobile Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Kailua, HI
  • NPI 1407714413
  NPD Authorized official
• Moon Physical Therapy LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1326235128
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1184145419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16310 BOTHELL EVERETT HWY STE C",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121284",
            "telephone_number": "425-582-5526",
            "fax_number": "425-245-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EVAN",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60745388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E. Lemieux, M.P.T.
• Tina Lepeska, LMT
• Amanda Marie Lerma, L.M.P
• Lewina Youn DDS PLLC (Mill Creek Endodontics & Microsurgery)
• Christopher Michael Lewis, LMHC
• Phylisha Brigitta Lewis
• Brianna Lillibridge, ARNP
• Yann G Lin, MD
• Linda M Cirtaut DDS PS
• Linda Smith Consulting, PLLC

• Physical Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.