Rebecca Marie-Lewis Lee, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4018 Issued in MN

Practice address

4195 Westberg Rd
Hermantown, MN 55811-2950

Phone

(218) 216-9921

Fax

(218) 520-0020

NPI assigned

May 31, 2006

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Marie Lewis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1619914637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429007",
            "telephone_number": "208-287-9420",
            "fax_number": "888-322-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 WESTBERG RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112950",
            "telephone_number": "218-216-9921",
            "fax_number": "218-520-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "REBECCA",
        "middle_name": "MARIE-LEWIS",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Marie Lamkin
• Noah Ronald Lane
• Paul Andrew Larkin
• Alexis Summerville Ledoux
• Jayci Kay Lee
• Wing Ki Lee
• Rebecca Rae Lemke, RBT
• Molly Elizabeth Lenmark
• Elizabeth A Liljeblad, MD
• Julie Lind

• Physical Therapist in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.