Kelly Lewey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009683 Issued in IL

Practice address

844 Cambridge Blvd
O Fallon, IL 62269-1976

Phone

(618) 242-3742

NPI assigned

Aug 12, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1407402977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HICKORY HILL LN UNIT B",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341602",
            "telephone_number": "618-531-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 CAMBRIDGE BLVD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691976",
            "telephone_number": "618-242-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWEY",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Brooke Less
• Sara M Lester, MPT
• Tameka Lesueur, RBT
• Lindsay A Levault, PTA
• Louis Jay Levine, MD
• Amanda R Lewis, LCSW
• Nicholas G Lezama, MD
• Audri Nichole Linton
• Melissa Lisk, M.A., CF-SLP/L
• Brian Litland

• Physical Therapist in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.