Active NPI
Joyce Lynne Kewley, PTA
- Physical Therapy Assistant
- Redding, CA
National Provider Identifier
1609944511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6358
- Practice address
- 2940 Court St
Redding, CA 96001 - Phone
- (530) 246-0600
- NPI assigned
- Nov 30, 2006
- Last updated
- Jun 21, 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 Therapy Assistant | 225200000X | 6358 | CA | Primary |
Addresses
Primary practice location
2940 Court St
Redding, CA 96001
Mailing address
1974 Merle Dr
Redding, CA 96001
Phone (530) 244-2149
Other names 1
- Mrs. Joyce Lynne Lucas
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 |
|---|---|---|---|
| 6358 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1609944511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 MERLE DR",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-244-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 COURT ST",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-246-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEWLEY",
"first_name": "JOYCE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "6358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "LUCAS",
"middle_name": "LYNNE",
"prefix": "MRS.",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.