Thomas Bruce Lewis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003133 Issued in GA

Practice address

400 Dawson Commons Cir
Suite 430
Dawsonville, GA 30534-6269

Phone

(706) 268-7905

Fax

(706) 265-8788

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1306288527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 MAPLE TERRACE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243705",
            "telephone_number": "770-271-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR",
            "address_2": "SUITE 430",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-268-7905",
            "fax_number": "706-265-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Leppert, PTA
• Maria Alejandra Lerma, P.A.
• Jesse Lewallen
• Andrea Nicole Lewis, PHARMD
• Jennifer Brackett Lewis, P.T., A.T.,C.
• Hannah Gibson Liermann
• Michelle Lima, ATC
• Richard Roberts Limehouse Jr., P.T.
• Kayla Lively
• Karen Marie Lowe

• Physical Therapy Assistant in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.