Active NPI
Leah Lewis
- Recreation Therapist
- Wayne, MI
National Provider Identifier
1316744717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 83656
- Practice address
- 35425 W Michigan Ave Ste 3693
Wayne, MI 48184-1668 - Phone
- (734) 467-7600
- NPI assigned
- Feb 25, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MI | ||
| Recreation Therapist | 225800000X | 83656 | MI | Primary |
Addresses
Primary practice location
35425 W Michigan Ave Ste 3693
Wayne, MI 48184-1668
Mailing address
17530 Fairway Dr
Detroit, MI 48221-2705
Phone (313) 805-7975
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 |
|---|---|---|---|
| 83656 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316744717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17530 FAIRWAY DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212705",
"telephone_number": "313-805-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35425 W MICHIGAN AVE STE 3693",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841668",
"telephone_number": "734-467-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "83656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.