NPIMap

Organization Active NPI

Eda J Lewis, PT, PLLC

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1619414554
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1154679 Issued in TX
Legal business name
EDA J LEWIS, PT, PLLC
Practice address
12039 Riverview Dr
Houston, TX 77077-3035
Phone
(281) 531-4064
Fax
(281) 674-8684
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Eda J Lewis, PT, DPT, MSNPI 1710934005
Title
Owner/Physical Therapist
Phone
(281) 531-4064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1154679 TX Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1263309 TX

Addresses

Primary practice location

12039 Riverview Dr
Houston, TX 77077-3035

Mailing address

12039 Riverview Dr
Houston, TX 77077-3035
Phone (281) 531-4064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1619414554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12039 RIVERVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773035",
            "telephone_number": "281-531-4064",
            "fax_number": "281-674-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 RIVERVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773035",
            "telephone_number": "281-531-4064",
            "fax_number": "281-674-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDA J LEWIS, PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "EDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "281-531-4064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1154679",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1263309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.