Active NPI
Randi Susan Lewis, P.T.
- Physical Therapist
- Orem, UT
National Provider Identifier
1316214612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8822
- Practice address
- 479 W 1400 N
Orem, UT 84057-7000 - Phone
- (801) 426-4905
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8822 | AZ | Primary |
Addresses
Primary practice location
479 W 1400 N
Orem, UT 84057-7000
Mailing address
6001 E Thomas Rd
Scottsdale, AZ 85251-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8822 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2620 N 68th St
Scottsdale, AZ 85257
Phone (480) 946-6571
5314 N River Run Dr
Ste 140
Provo, UT 84604
Phone (801) 471-2449
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1316214612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 E THOMAS RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 W 1400 N",
"city": "OREM",
"state": "UT",
"postal_code": "840577000",
"telephone_number": "801-426-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RANDI",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
- Madison Marie Lethbridge
- Amanda Lewis
- Brittany Marie Lewis, M.S., CCC-SLP
- Kailee S Lewis
- Maison Thamar Lewis
- Jory Art Liddiard, MOT, OTR/L
- Life Chiropractic
- Life Empowered Therapy Services, LLC
- Life Launch Centers of South Salt Lake (Anxiety Trauma and Depression Treatment Center)
- Life Rescue Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.