Active NPI
Susan E Lewis, PT
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1265530901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2971
- Practice address
- 4080 W Broadway Ave
Minneapolis, MN 55422-5604 - Phone
- (763) 533-0541
- NPI assigned
- Sep 20, 2006
- 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 | 2971 | MN | Primary |
Addresses
Primary practice location
4080 W Broadway Ave
Minneapolis, MN 55422-5604
Mailing address
1360 Unity Ave N
Golden Valley, MN 55422-4738
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265530901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 UNITY AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554225604",
"telephone_number": "763-533-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.