Active NPI
Kenneth Paul Lewis, LMT
- Massage Therapist
- Washington, DC
National Provider Identifier
1306311840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT2428
- Practice address
- 3220 17TH St NW # 10
Washington, DC 20010-2135 - Phone
- (202) 436-1279
- NPI assigned
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT2428 | DC | Primary |
Addresses
Primary practice location
3220 17TH St NW # 10
Washington, DC 20010-2135
Mailing address
1650 Harvard St NW Apt 727
Washington, DC 20009-3737
Phone (503) 750-0791
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT2428 | DC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1306311840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 HARVARD ST NW APT 727",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093737",
"telephone_number": "503-750-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 17TH ST NW # 10",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102135",
"telephone_number": "202-436-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KENNETH",
"middle_name": "PAUL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DC",
"license": "MT2428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.