Carolyn Jeanne Lewis, M.ED.,P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305004871 Issued in VA

Practice address

1102 Rose Hill Dr
Charlottesville, VA 22903-5128

Phone

(434) 979-8628

Fax

(434) 979-8536

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• The Charleston Center, Inc

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1427150630

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1659649333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 FONTANA DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113527",
            "telephone_number": "434-979-8628",
            "fax_number": "434-979-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035128",
            "telephone_number": "434-979-8628",
            "fax_number": "434-979-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CAROLYN",
        "middle_name": "JEANNE",
        "credential": "M.ED.,P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305004871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4980671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annalise Marie Levy, OTR/L
• Benjamin Levy, MD
• Christopher James Levy, MD
• Lewis Pelvic Floor Therapy PLLC
• Benjamin A. Lewis, M.D.
• Janet E. Lewis
• Kristen Mae Lewis
• Lisa Lewis, PT, MS
• Rachel Gail Lewis, LCSW
• Rose Marie Lewis

• Pediatric Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.