Benjamin Lewis, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

046153 Issued in NY

Practice address

2359 N Triphammer Rd
Ithaca, NY 14850-1059

Phone

(607) 257-5009

Fax

(607) 257-9985

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1407453418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501059",
            "telephone_number": "607-257-5009",
            "fax_number": "607-257-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501059",
            "telephone_number": "607-257-5009",
            "fax_number": "607-257-9985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Dryden",
            "state": "NY",
            "postal_code": "130539630",
            "country_code": "US",
            "telephone_number": "607-844-5653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 W Main St",
            "address_purpose": "LOCATION",
            "city": "Trumansburg",
            "state": "NY",
            "postal_code": "148869574",
            "country_code": "US",
            "telephone_number": "607-387-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "046153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Leslie, M.D.
• Julie Wilmot Levine, PHARMACIST
• Neesa Merle Levine, LMSW
• Diana Levy
• Claudia Lewenstein, LCSW-R
• Ethan Lewis
• Jeffrey Scott Lewis, M.D., D.M.D.
• Kaitlyn Lewis
• Cassandra Li
• Gary Liang, PA-C

• Physical Medicine & Rehabilitation Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.