Individual provider Active NPI

Claudia J Lewetzon, MSPT

  • Geriatric Physical Therapist
  • San Carlos, CA
National Provider Identifier
1417284092
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT20081 Issued in CA
Practice address
809 Laurel St # 1181
San Carlos, CA 94070-3914
Phone
(650) 868-3674
Fax
(650) 593-7732
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT20081 CA Primary

Addresses

Primary practice location

809 Laurel St # 1181
San Carlos, CA 94070-3914

Mailing address

809 Laurel St # 1181
San Carlos, CA 94070-3914
Phone (650) 868-3674

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20081CAMDGeriatric Physical Therapist
20081CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1417284092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 LAUREL ST # 1181",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703914",
            "telephone_number": "650-868-3674",
            "fax_number": "650-593-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LAUREL ST # 1181",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703914",
            "telephone_number": "650-868-3674",
            "fax_number": "650-593-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWETZON",
        "first_name": "CLAUDIA",
        "middle_name": "J",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT20081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.