Individual provider Active NPI

Astrid Eva Rothmund Lewis, PT

  • Physical Therapist
  • Medford, MA
National Provider Identifier
1235114158
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15339 Issued in MA
Practice address
26 Jerome St
Medford, MA 02155-6712
Phone
(617) 290-2711
Fax
(781) 646-1090
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15339 MA Primary

Addresses

Primary practice location

26 Jerome St
Medford, MA 02155-6712

Mailing address

26 Jerome St
Medford, MA 02155-6712
Phone (617) 290-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001113 MA Practitioner - Physical Therapist in Private Practice 0446235584 Reassigns benefits to 1 organization
Practice locations: Medford, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Jerome St
Medford, MA 02155-6712
Phone (617) 290-2711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15339MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Astrid Rothmund Therapies LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1235114158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JEROME ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556712",
            "telephone_number": "617-290-2711",
            "fax_number": "781-646-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JEROME ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556712",
            "telephone_number": "617-290-2711",
            "fax_number": "781-646-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMUND LEWIS",
        "first_name": "ASTRID",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.