Gabriel Sage Lewis-Kraitsik, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5729 Issued in NM

Practice address

104C Old Las Vegas Hwy
Santa Fe, NM 87505-9301

Phone

(505) 992-4995

NPI assigned

Jul 5, 2020

Last updated

Jul 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Physical Therapy and Wellness LLCGroup PAC ID 9032427513, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Albuquerque, NM
  • NPI 1407234917

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• NM Santa Fe PT Investment LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1063001881

  Physical Therapist

  Medicare reassignment NPD
• Physical Therapy at Dawn, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1780695551
  Medicare reassignment NPD
• SF Sports Med & Rehab Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1316933344
  NPD

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1215554365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 1/2 ALARID ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104C OLD LAS VEGAS HWY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875059301",
            "telephone_number": "505-992-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-KRAITSIK",
        "first_name": "GABRIEL",
        "middle_name": "SAGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviva Levy Faust, IBCLC
• Molly Marie Levy
• Renny H. Levy, M.D.
• Stephanie Levy, CNM
• Shelly Mark Lewin, LCSW
• Adrienne Jaden Lewis
• Araceli Lewis
• Kerry J Lewis, LPN
• Sharon Marie Lewis, L.M.T.
• Wyn Lewis, MA, MPH, CDE

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.