Active NPI
Jovial Lewis Pediatric Physical Therapy PLLC
- Pediatric Physical Therapist
- Little Neck, NY
National Provider Identifier
1356095715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- JOVIAL LEWIS PEDIATRIC PHYSICAL THERAPY PLLC
- Practice address
- 5615 251St St
Little Neck, NY 11362-2117 - Phone
- (718) 427-5585
- Fax
- (718) 507-4401
- NPI assigned
- Feb 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jovial Lewis, PT
- Title
- Owner/Physical Therapist-Pediatric
- Phone
- (718) 427-5585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
5615 251St St
Little Neck, NY 11362-2117
Mailing address
5301 Skillman Ave Apt 3R
Woodside, NY 11377-4121
Phone (718) 427-5585
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643932800000",
"number": "1356095715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 SKILLMAN AVE APT 3R",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774121",
"telephone_number": "718-427-5585",
"fax_number": "718-507-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 251ST ST",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622117",
"telephone_number": "718-427-5585",
"fax_number": "718-507-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOVIAL LEWIS PEDIATRIC PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JOVIAL",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST-PEDIATRIC",
"authorized_official_telephone_number": "718-427-5585",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.