Active NPI
Kenan Lewis
- Occupational Therapist
- Smithfield, NC
National Provider Identifier
1376305243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16263
- Practice address
- 101 E Market St Ste 3B
Smithfield, NC 27577-3981 - Phone
- (919) 912-2030
- NPI assigned
- Jan 26, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16263 | NC | Primary |
Addresses
Primary practice location
101 E Market St Ste 3B
Smithfield, NC 27577-3981
Mailing address
39 Wood Stork CT
Clayton, NC 27520-4178
Phone (919) 912-2030
Other practice location 1
11183 US Hwy. 70 Business
Clayton, NC 27520-2752
Phone (919) 912-2030
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 |
|---|---|---|---|
| 16263 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abil-OT | Occupational Therapist | Current | Accepting new patients |
Locations
11183 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 243-2201
101 E Market St
Ste 3B
Smithfield, NC 27577
Phone (919) 243-2201
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.
-
- Occupational Therapist
- Clayton, NC
- NPI 1699329771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1376305243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WOOD STORK CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204178",
"telephone_number": "919-912-2030",
"fax_number": "919-585-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MARKET ST STE 3B",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275773981",
"telephone_number": "919-912-2030"
}
],
"practiceLocations": [
{
"address_1": "11183 US Hwy. 70 Business",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "275202752",
"country_code": "US",
"telephone_number": "919-912-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "KENAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.