Dawn E Lewen, PTA
Individual provider Active NPI Physical Therapy Assistant · Sister Bay, WI
NPI 1437327111 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1437327111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1450-019 (WI)
- Practice address
- 2345 Canterbury LN
Sister Bay, WI 54234-5602 - Phone
- (920) 854-4111
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1450-019 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1450-019 | WI | Yes |
Addresses
Primary practice location
2345 Canterbury LN
Sister Bay, WI 54234-5602
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1450-019 | Other | WI | LICENSE NUMBER |
| 41229200 | Medicaid | WI |
Other names
- Dawn E Olson
Other providers in Sister Bay, WI
- Rory Michael Johnson
- Elizabeth Ann Jorgenson
- Krasimira K Kalcheva
- Krista Lee Keck
- Samantha Marie Larson
- John Ernest Ludwigsen
- Paige Martin
- Robert Edwin Morley
- Northern Door Chiropractic and Wellness LLC
- Northern Door Dental SC
All providers in Sister Bay, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.