Individual provider Active NPI

Amber Lewis

  • Physical Therapy Assistant
  • Troy, MI
National Provider Identifier
1417338534
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502003951 Issued in MI
Practice address
6905 Rochester Rd
Suite C
Troy, MI 48085-1282
Phone
(248) 828-1100
Fax
(248) 828-1101
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502003951 MI Primary

Addresses

Primary practice location

6905 Rochester Rd
Suite C
Troy, MI 48085-1282

Mailing address

11554 E 12 Mile Rd
Warren, MI 48093-2644
Phone (586) 558-0185

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

LicenseStateTypeSpecialty
5502003951MIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Plus Rehab Services, Inc. Past Accepting new patients
Mobility Plus Rehab Services Inc. PastSince Dec 9, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7140/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1417338534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11554 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932644",
            "telephone_number": "586-558-0185",
            "fax_number": "586-558-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 ROCHESTER RD",
            "address_2": "SUITE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851282",
            "telephone_number": "248-828-1100",
            "fax_number": "248-828-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.