NPIMap

Organization Active NPI

Neu-Level Therapy and Wellness, LLC

  • Physical Therapist
  • Tyrone, GA
National Provider Identifier
1659969848
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEU-LEVEL THERAPY AND WELLNESS, LLC
Practice address
100 Millbrook Village Dr Ste C
Tyrone, GA 30290-3603
Phone
(954) 303-4670
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Paulette Lewis, MPT, DPTNPI 1386828945
Title
Owner/Physical Therapist
Phone
(954) 303-4670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

100 Millbrook Village Dr Ste C
Tyrone, GA 30290-3603

Mailing address

14 Highbranch Way
Newnan, GA 30265-6217
Phone (770) 502-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301000802 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496161382 Receives reassigned benefits from 4 practitioners
Practice locations: Tyrone, GA

National Provider Directory

National Provider Directory

Locations

100 Millbrook Village Dr
Tyrone, GA 30290

100 Millbrook Village Dr
Ste C
Tyrone, GA 30290
Phone (678) 364-9412

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1659969848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGHBRANCH WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656217",
            "telephone_number": "770-502-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILLBROOK VILLAGE DR STE C",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302903603",
            "telephone_number": "954-303-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEU-LEVEL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "954-303-4670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.