Individual provider Active NPI

Travis Z Lewek, DPT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1447643077
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011843 Issued in GA
Practice address
2295 Towne Lake Pkwy Ste 148
Woodstock, GA 30189-5520
Phone
(770) 926-2744
NPI assigned
Mar 6, 2015
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011843 GA Primary
Physical Therapist 225100000X 2305209198 VA

Addresses

Primary practice location

2295 Towne Lake Pkwy Ste 148
Woodstock, GA 30189-5520

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other practice location 1

860 Johnson Fy Rd NE
Ste 100
Atlanta, GA 30342-1435
Phone (404) 252-5545

Other practice location 2

1370 Buford Hwy Ste 108
Cumming, GA 30041-2723
Phone (770) 205-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029000927 GA Practitioner - Physical Therapist in Private Practice 6507175767 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011843GAMDPhysical Therapist
2305209198VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Sport & Spine Physical Therapy CurrentSince Sep 12, 2017 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 17, 2022 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince May 17, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

857 Collier Rd NW
Ste 1
Atlanta, GA 30318
Phone (404) 419-7760

1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1447643077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 TOWNE LAKE PKWY STE 148",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895520",
            "telephone_number": "770-926-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Johnson Fy Rd NE",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421435",
            "country_code": "US",
            "telephone_number": "404-252-5545",
            "fax_number": "404-252-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 Buford Hwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300412723",
            "country_code": "US",
            "telephone_number": "770-205-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWEK",
        "first_name": "TRAVIS",
        "middle_name": "Z",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011843",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.