Individual provider Active NPI

Richelle Virginia Lewis, PT

  • Physical Therapist
  • Cave Creek, AZ
National Provider Identifier
1306098744
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6482 Issued in AZ
Practice address
4532 E Lone Mountain Rd
Suite 207
Cave Creek, AZ 85331-4406
Phone
(480) 272-7140
Fax
(480) 361-8216
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6482 AZ Primary

Addresses

Primary practice location

4532 E Lone Mountain Rd
Suite 207
Cave Creek, AZ 85331-4406

Mailing address

4532 E Lone Mountain Rd
Suite 207
Cave Creek, AZ 85331-4406
Phone (480) 272-7140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000109 AZ Practitioner - Physical Therapist in Private Practice 2365500410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giardina Sportsmedicine Consultants IncGroup PAC ID 9931122942, 13 clinicians

Practice addresses (Care Compare)

4730 E Lone Mountain Rd
Suite 114
Cave Creek, AZ 85331-5539
Phone (480) 272-7140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6482AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Giardina Sportsmedicine Consultants, Inc. Physical Therapist CurrentSince Oct 15, 2008 Accepting new patients
Giardina Sportsmedicine Consultants, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Giardina Sportsmedicine Consultants, Inc. PastSince Feb 18, 2024 Accepting new patients

Locations

4730 E Lone Mountain Rd
Ste 114
Cave Creek, AZ 85331
Phone (480) 272-7140

8110 W Union Hills Dr
Ste 320
Glendale, AZ 85308
Phone (480) 306-7242

34975 N North Valley Pkwy
Ste 118
Phoenix, AZ 85086
Phone (623) 434-4361

245 E Bell Rd
Ste 58
Phoenix, AZ 85022
Phone (602) 843-8486

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1306098744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 E LONE MOUNTAIN RD",
            "address_2": "SUITE 207",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314406",
            "telephone_number": "480-272-7140",
            "fax_number": "480-361-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 E LONE MOUNTAIN RD",
            "address_2": "SUITE 207",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314406",
            "telephone_number": "480-272-7140",
            "fax_number": "480-361-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RICHELLE",
        "middle_name": "VIRGINIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.