Kacey Jolene Lewis, PT, MPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

000000000 Issued in CA

Practice address

1016 Ocean Ave
Apt H
Seal Beach, CA 90740-6480

Phone

(562) 212-7102

NPI assigned

Oct 23, 2010

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 names 1

• Miss Kacey Jolene Crenshaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353801600000",
    "number": "1275833345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 OCEAN AVE",
            "address_2": "APT H",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 OCEAN AVE",
            "address_2": "APT H",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406480",
            "telephone_number": "562-212-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KACEY",
        "middle_name": "JOLENE",
        "name_prefix": "Mrs.",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2012-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACEY",
            "last_name": "CRENSHAW",
            "middle_name": "JOLENE",
            "prefix": "MISS",
            "credential": "PT, MPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melinda Lee, D.D.S.
• Jared Leeper
• Leisure World Medical Group, Inc
• Lucy Lesley, FNP
• Bridgett Louise Lewis, RN
• Erin Likert, MPT
• Kristy List, MPT
• Clarence Lee Lloyd, PHARM.D.
• John Jason Lloyd, M.D.
• Candace Lopez, L.AC.

• Orthopedic Physical Therapist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.