Active NPI
Lindsay Kathryn Lewis, PTA
- Physical Therapy Assistant
- Plainfield, CT
National Provider Identifier
1396356754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2102
- Practice address
- 20 Babcock Ave
Plainfield, CT 06374-1226 - Phone
- (860) 564-3387
- NPI assigned
- Aug 11, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2102 | CT | Primary |
Addresses
Primary practice location
20 Babcock Ave
Plainfield, CT 06374-1226
Mailing address
641 Plainfield Pike
Moosup, CT 06354-2022
Phone (978) 239-8273
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 |
|---|---|---|---|
| 2102 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1396356754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 PLAINFIELD PIKE",
"city": "MOOSUP",
"state": "CT",
"postal_code": "063542022",
"telephone_number": "978-239-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BABCOCK AVE",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "063741226",
"telephone_number": "860-564-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LINDSAY",
"middle_name": "KATHRYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "2102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.