Active NPI
Kelsey Dawn Lewis, PT, DPT, MS
- Physical Therapist
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016711
- Practice address
- 4446 Washington Rd Ste 8
Evans, GA 30809-6361 - Phone
- (706) 869-3352
- NPI assigned
- Aug 16, 2023
- 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 | PT016711 | GA | Primary |
Addresses
Primary practice location
4446 Washington Rd Ste 8
Evans, GA 30809-6361
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
Other practice location 1
109 Oglethorpe Professional Ct
Savannah, GA 31406-3623
Phone (912) 349-6237
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016711 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
4446 Washington Rd
Ste 8
Evans, GA 30809
Phone (706) 869-3352
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
Organizations & group practices 4
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.
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1497538151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4446 WASHINGTON RD STE 8",
"city": "EVANS",
"state": "GA",
"postal_code": "308096361",
"telephone_number": "706-869-3352"
}
],
"practiceLocations": [
{
"address_1": "109 Oglethorpe Professional Ct",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314063623",
"country_code": "US",
"telephone_number": "912-349-6237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "KELSEY",
"middle_name": "DAWN",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.