Active NPI
Rachel Leeann Lewis, LAT, ATC
- Sports Medicine (Preventive Medicine) Physician
- Boca Raton, FL
National Provider Identifier
1265068332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 5455
- Practice address
- 777 Glades Rd
Boca Raton, FL 33431-6424 - Phone
- (561) 297-1056
- NPI assigned
- Mar 20, 2020
- 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 |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 5455 | FL | Primary |
Addresses
Primary practice location
777 Glades Rd
Boca Raton, FL 33431-6424
Mailing address
6683 Blue Bay Cir
Lake Worth, FL 33467-7336
Phone (561) 777-9536
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5455 | FL | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1265068332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6683 BLUE BAY CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677336",
"telephone_number": "561-777-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GLADES RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316424",
"telephone_number": "561-297-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RACHEL",
"middle_name": "LEEANN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "FL",
"license": "5455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.