Individual provider Active NPI

Mark R. Lewis, M.P.T.

  • Physical Therapist
  • Rockland, ME
National Provider Identifier
1477629749
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2617 Issued in ME
Practice address
91 Camden St Ste 401
Rockland, ME 04841-2421
Phone
(207) 593-6682
Fax
(207) 213-1075
NPI assigned
Nov 28, 2006
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2617 ME Primary

Addresses

Primary practice location

91 Camden St Ste 401
Rockland, ME 04841-2421

Mailing address

91 Camden St Ste 401
Rockland, ME 04841-2421
Phone (207) 593-6682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207000124 ME Practitioner - Physical Therapist in Private Practice 8729361373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Physical Therapy PAGroup PAC ID 5890841001, 7 clinicians

Practice addresses (Care Compare)

91 Camden St
Suite 401
Rockland, ME 04841-2421
Phone (207) 593-6682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Physical Therapy PA Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients

Locations

91 Camden St
Ste 401
Rockland, ME 04841
Phone (207) 593-6682

Organizations & group practices 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1477629749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 401",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412421",
            "telephone_number": "207-593-6682",
            "fax_number": "207-213-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CAMDEN ST STE 401",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412421",
            "telephone_number": "207-593-6682",
            "fax_number": "207-213-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARK",
        "middle_name": "R.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.