Active NPI
Jenna Marie Lewis, DPT, PHD, WCS, CLT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1255052221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PA027220
- Practice address
- 2418 E York St
Philadelphia, PA 19125-3006 - Phone
- (267) 570-3603
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PA027220 | PA | Primary |
Addresses
Primary practice location
2418 E York St
Philadelphia, PA 19125-3006
Mailing address
13 E Narberth Ter
Collingswood, NJ 08108-1016
Phone (513) 608-3471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA027220 | PA | MD | Physical Therapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/24135/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1255052221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 E NARBERTH TER",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081081016",
"telephone_number": "513-608-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 E YORK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253006",
"telephone_number": "267-570-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNA MARIE",
"name_prefix": "Dr.",
"credential": "DPT, PHD, WCS, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PA027220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.