Active NPI
Cheryl Fisher Lewis, OT
- Occupational Therapist
- Tallulah, LA
National Provider Identifier
1194239822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z10659
- Practice address
- 1201 La Salle St
Tallulah, LA 71282-4921 - Phone
- (318) 235-6783
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z10659 | LA | Primary |
Addresses
Primary practice location
1201 La Salle St
Tallulah, LA 71282-4921
Mailing address
1201 La Salle St
Tallulah, LA 71282-4921
Phone (318) 235-6783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z10659 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Corner, LLC | Single Specialty | Current | Accepting new patients |
Interoperability endpoints
- therapycorner.cherylfisherlewis@160543.advancedmd-direct.com
Organizations & group practices 1
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": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1194239822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LA SALLE ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712824921",
"telephone_number": "318-235-6783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LA SALLE ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712824921",
"telephone_number": "318-235-6783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CHERYL",
"middle_name": "FISHER",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z10659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallulah, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.