Paulette Lorene Lewis, MPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008946 Issued in GA

Practice address

100 Millbrook Village Dr Ste C
Tyrone, GA 30290-3603

Phone

(678) 545-6666

Fax

(770) 629-7978

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neu-Level Therapy and Wellness LLCGroup PAC ID 5496161382, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neu-Level Therapy and Wellness, LLC

  • Physical Therapist
  • Tyrone, GA
  • NPI 1659969848
  Medicare reassignment Care Compare group NPD Authorized official
• Alliance Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Newnan, GA
  • NPI 1760889869
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1386828945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGHBRANCH WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656217",
            "telephone_number": "954-303-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILLBROOK VILLAGE DR STE C",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302903603",
            "telephone_number": "678-545-6666",
            "fax_number": "770-629-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAULETTE",
        "middle_name": "LORENE",
        "name_prefix": "Dr.",
        "credential": "MPT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angilee T Leconte, PMHNP-BC
• Lauren Chandler Lee-Henderson, DDS
• Jason Rex Lee, DMD
• Yakirah Lee
• Tyler Mathew Lenahan, LMT
• Paul Washington Lindo, D.D.S.
• Elizabeth Lindsey, OTR/L
• Ticaria Lynne Lipsey, M.D.
• Little Bloomers Pediatric Therapy LLC
• Little Peaches Pediatric Dentistry

• Physical Therapist in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.