Jewel Lewis
Individual provider Active NPI Physical Therapist · Archdale, NC
NPI 1336889013 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1336889013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 21094 (NC)
- Practice address
- 10102 S Main St Ste S
Archdale, NC 27263-3183 - Phone
- (336) 307-3015
- Fax
- (336) 307-3004
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proptnc,LLC
Practice addresses (Care Compare)
10102 S Main St
Suite S
Archdale, NC 27263-3183
Phone (336) 307-3015
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, TX, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220409000058 | MD | Practitioner - Physical Therapist in Private Practice | 8224424791 | Reassigns benefits to 2 organizations |
| I20231130003027 | TX | Practitioner - Physical Therapist in Private Practice | 8224424791 | Reassigns benefits to 2 organizations |
| I20241203002213 | NC | Practitioner - Physical Therapist in Private Practice | 8224424791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21094 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current |
Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current |
Accepting new patients |
| Empower Physical Therapy TX LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current |
Accepting new patients | |
| Proptnc,LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Carolina Drug of Randolph County LLC | Past |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
2645 Annapolis Rd
Ste B
Hanover, MD 21076
Phone (443) 351-2063
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061
10102 S Main St
Ste S
Archdale, NC 27263
Phone (336) 307-3015
112 Walmart Supercenter
Siler City, NC 27344
Phone (919) 799-2216
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
4617 W Bailey Boswell Rd
Fort Worth, TX 76179
Phone (682) 350-4106
4120 Heritage Trace Pkwy
Ste 220
Fort Worth, TX 76244
Phone (817) 741-7585
1600 FM 544
Ste 200
Lewisville, TX 75056
Phone (214) 295-5677
8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TX | ||
| Physical Therapist | 225100000X | 21094 | NC | Yes |
Addresses
Primary practice location
10102 S Main St Ste S
Archdale, NC 27263-3183
Mailing address
112 Walmart Supercenter
Siler City, NC 27344-6756
Phone (919) 799-2226
Other providers in Archdale, NC
- Tiffani Knight-Lynch
- Anne F. Lake
- Christopher John Lapradd
- Sydney Stroud Lassiter
- Andreana Yvette Leverette
- Muhan Lily Li
- Joanna Lindsay
- Laquanna M Lucas
- Bradley Joseph Macdonald
- Daniel John Macdonald
All providers in Archdale, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.