Individual provider Active NPI

Rita Lewis

  • Athletic Trainer
  • Atlantic City, NJ
National Provider Identifier
1639771199
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
6 N New Hampshire Ave Unit 1a
Atlantic City, NJ 08401-5500
Phone
(702) 443-8038
NPI assigned
Nov 10, 2020
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

6 N New Hampshire Ave Unit 1a
Atlantic City, NJ 08401-5500

Mailing address

174 Nassau St # 321
Princeton, NJ 08542-7005
Phone (702) 443-8038

Other practice location 1

298 Laine St
Monterey, CA 93940-1823
Phone (702) 443-8038

Other practice location 2

606 Cornelia Ave
Saint Louis, MO 63119-1824
Phone (702) 443-8038

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Integrative Health, LLC Athletic Trainer CurrentSince Nov 1, 2020 Accepting new patients
Reed Integrative Therapeutic Arts Inc. CurrentSince Feb 25, 2024 Accepting new patients

Locations

174 Nassau St
Princeton, NJ 08542
Phone (917) 488-4482

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1639771199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NASSAU ST # 321",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085427005",
            "telephone_number": "702-443-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N NEW HAMPSHIRE AVE UNIT 1A",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015500",
            "telephone_number": "702-443-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Laine St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939401823",
            "country_code": "US",
            "telephone_number": "702-443-8038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Cornelia Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631191824",
            "country_code": "US",
            "telephone_number": "702-443-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.