Suzanne Elizabeth Lewis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2002000493 Issued in MO

Practice address

1403 Riverside Dr
Jefferson City, MO 65101-4253

Phone

(573) 751-7142

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Suzanne Elizabeth Linhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1265578041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SCHELLRIDGE RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091156",
            "telephone_number": "573-635-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 RIVERSIDE DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014253",
            "telephone_number": "573-751-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002000493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1114090792",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "LINHARDT",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Lester, LCSW
• Thomas Scott Leupold, CRNA
• Brandon Douglas Lewis, PA-C
• Matthew Thomas Lewis, M.D.
• Megan Marie Lewis, PTA
• LHCG Cxci, LLC
• LHCG Cxlvi, LLC
• LHCG Cxlviii, LLC
• LHCG Cxxxxiii, LLC
• Hannah Elizabeth Libbert, DPT

• Physical Therapist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.