Mary Lewis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018068 Issued in OH

Practice address

4850 E Main St Ste 130
Columbus, OH 43213-3194

Phone

(614) 897-0301

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA, SC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Proactive LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Apple Physical Therapy, LLC

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  Medicare reassignment NPD
• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  Medicare reassignment NPD
• Apple Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Physical Therapist

  NPD
• Apple Physical Therapy LLC

  • Physical Therapist
  • Yelm, WA
  • NPI 1922283050
  NPD
• Greenville Proaxis Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1740052000
  NPD
• Omnis Omnia Inc.

  • Orthopedic Physical Therapist
  • Redmond, OR
  • NPI 1013949239
  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1659912137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750866308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E MAIN ST STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133194",
            "telephone_number": "614-897-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Patewood Dr Ste C250",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153593",
            "country_code": "US",
            "telephone_number": "864-780-4793",
            "fax_number": "864-794-5409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11112 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984445749",
            "country_code": "US",
            "telephone_number": "253-537-1103",
            "fax_number": "253-537-1087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Wadsworth Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334634",
            "country_code": "US",
            "telephone_number": "303-940-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1705 DeSales St NW Fl 6",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200364405",
            "country_code": "US",
            "telephone_number": "202-630-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0017349",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Lewis
• Krystin Lewis
• Laquita Lewis
• Latishia Lewis, LPN
• Lauren Elizabeth Lewis, DO
• Maureen Lewis
• Megan Lewis, PHARMD
• Michael Lewis
• Michael Scott Lewis, MA, LPCC
• Michael Shannon Lewis, NP-C

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.