Active NPI
Stephen Daniel Lewis II, PTA
- Physical Therapy Assistant
- Norfolk, VA
National Provider Identifier
1336735570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602848
- Practice address
- 6201 E Virginia Beach Blvd Ste 110
Norfolk, VA 23502-2824 - Phone
- (757) 261-0820
- Fax
- (757) 461-3246
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 2306602848 | VA | Primary |
Addresses
Primary practice location
6201 E Virginia Beach Blvd Ste 110
Norfolk, VA 23502-2824
Mailing address
105 Inez Ave
Norfolk, VA 23502-5208
Phone (251) 472-7508
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 |
|---|---|---|---|
| 2306602848 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Hospitals | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1336735570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 INEZ AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235025208",
"telephone_number": "251-472-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 E VIRGINIA BEACH BLVD STE 110",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022824",
"telephone_number": "757-261-0820",
"fax_number": "757-461-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STEPHEN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.