Active NPI
Daren Keith Lewis, MPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1376697805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19936
- Practice address
- 20607 NE 6TH CT
Miami, FL 33179-2421 - Phone
- (954) 600-3568
- Fax
- (305) 651-3361
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 19936 | FL | Primary |
Addresses
Primary practice location
20607 NE 6TH CT
Miami, FL 33179-2421
Mailing address
20607 NE 6TH CT
Miami, FL 33179-2421
Phone (954) 600-3568
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19936 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376697805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20607 NE 6TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792421",
"telephone_number": "954-600-3568",
"fax_number": "305-651-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20607 NE 6TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331792421",
"telephone_number": "954-600-3568",
"fax_number": "305-651-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DAREN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "19936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.