Thomas Vernon Lewis

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11174 Issued in NC

Practice address

2500 Polo Ridge CT
Winston Salem, NC 27106-3950

Phone

(336) 722-7118

NPI assigned

Sep 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlewis544028@direct.unc.nchie.net

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.

• Rex Hospital Inc

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1144248683
  NPD
• Rex Hospital Inc

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1598358707
  NPD
• Rex Hospital, Inc

  • Pharmacy
  • Raleigh, NC
  • NPI 1174624803
  NPD
• Rex Hospital Inc

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1831613363
  NPD (past)

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1598249583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 MORGAN WAY APT 208",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275154",
            "telephone_number": "304-276-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POLO RIDGE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063950",
            "telephone_number": "336-722-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Blue Ridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076423",
            "country_code": "US",
            "telephone_number": "919-784-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlewis544028@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "2901 Blue Ridge Rd Ste 102",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Henderson Lewis, MD MPH SM
• Margery R Lewis, D.M.D
• Matthew Lewis, PT
• Matthew Cullen Lewis, LPCA, NCC
• Michele Olivia Lewis, FNP
• Zachary Thompson Lewis, MD
• Lexmedical, Inc.
• Lexmedical, Inc.
• Lexmedical, Inc.
• Tong Li-Masters, M.D., PH.D.

• Occupational Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.