Individual provider Active NPI

Laura Neely Lewis, DPT

  • Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1639489834
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206719 Issued in VA
Practice address
7500 Jackson Arch Dr Ste G
Mechanicsville, VA 23111-4458
Phone
(804) 559-2900
Fax
(804) 559-2904
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206719 VA Primary

Addresses

Primary practice location

7500 Jackson Arch Dr Ste G
Mechanicsville, VA 23111-4458

Mailing address

7500 Jackson Arch Dr Ste G
Mechanicsville, VA 23111-4458
Phone (804) 559-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327002975 VA Practitioner - Physical Therapist in Private Practice 9032359666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

201 B Rosser Ave
Waynesboro, VA 22980-3540
Phone (540) 943-4510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Jan 13, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 13, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

7500 Jackson Arch Dr
Ste G
Mechanicsville, VA 23111
Phone (804) 559-2900

201B Rosser Ave
Waynesboro, VA 22980
Phone (540) 943-0409

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1639489834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 JACKSON ARCH DR STE G",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114458",
            "telephone_number": "804-559-2900",
            "fax_number": "804-559-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 JACKSON ARCH DR STE G",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114458",
            "telephone_number": "804-559-2900",
            "fax_number": "804-559-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LAURA",
        "middle_name": "NEELY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.