Active NPI
Donna Lewis, PHYSICAL THERAPIST
- Physical Therapist
- Skowhegan, ME
National Provider Identifier
1467603100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1259
- Practice address
- 12 Walnut St
Skowhegan, ME 04976-1513 - Phone
- (207) 858-2094
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1259 | ME | Primary |
Addresses
Primary practice location
12 Walnut St
Skowhegan, ME 04976-1513
Mailing address
33 Montcalm Street
Fairfield, ME 04937
Phone (207) 692-7476
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1259 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1467603100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MONTCALM STREET",
"city": "FAIRFIELD",
"state": "ME",
"postal_code": "04937",
"telephone_number": "207-692-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WALNUT ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761513",
"telephone_number": "207-858-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DONNA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT1259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.