Active NPI
Erin R. Lewis, M.S., P.T.
- Pediatric Physical Therapist
- Mayflower, AR
National Provider Identifier
1407890577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2460
- Practice address
- 4 Grove Street
Mayflower, AR 72106 - Phone
- (501) 470-0387
- NPI assigned
- Jun 16, 2006
- Reactivated
- Dec 18, 2019
- Last updated
- Jan 2, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2460 | AR | Primary |
Addresses
Primary practice location
4 Grove Street
Mayflower, AR 72106
Mailing address
P.O. Box 933
Greenbrier, AR 72058
Phone (501) 581-6045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142216721 | Medicaid | AR | |
| 5W494 | Other | AR | AR BLUECROSS BLUESHIELD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2460 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy 4 Kids | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Greenbrier, AR
- NPI 1992831234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1407890577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 933",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "72058",
"telephone_number": "501-581-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GROVE STREET",
"city": "MAYFLOWER",
"state": "AR",
"postal_code": "72106",
"telephone_number": "501-470-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ERIN",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"deactivation_date": "2017-08-22",
"reactivation_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "2460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142216721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUECROSS BLUESHIELD",
"identifier": "5W494",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayflower, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.