Active NPI
Lewis William Bayne, PT
- Physical Therapist
- Tucumcari, NM
National Provider Identifier
1497961775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 854
- Practice address
- 301 E Miel de Luna Ave
Tucumcari, NM 88401-3810 - Phone
- (505) 461-7234
- Fax
- (505) 461-7231
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 854 | NM | Primary |
Addresses
Primary practice location
301 E Miel de Luna Ave
Tucumcari, NM 88401-3810
Mailing address
1002 S 1St St
Tucumcari, NM 88401-3219
Phone (505) 461-4128
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 |
|---|---|---|---|
| 854 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497961775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S 1ST ST",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013219",
"telephone_number": "505-461-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MIEL DE LUNA AVE",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013810",
"telephone_number": "505-461-7234",
"fax_number": "505-461-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNE",
"first_name": "LEWIS",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.