Marcus Lewis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018918 Issued in MI

Practice address

2058 S State St
Ann Arbor, MI 48104-4786

Phone

(734) 913-0300

NPI assigned

Oct 18, 2018

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Michigan Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Probility Therapy ServicesGroup PAC ID 6305897414, 106 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Probility Therapy Services

  • Physical Therapist
  • Ypsilanti, MI
  • NPI 1164458543
  Medicare reassignment Care Compare group NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1548932619
  Medicare reassignment NPD
• Probility Therapy Services

  dba Probility Physical Therapy

  • Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1952873689
  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1679049506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD STE 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044786",
            "telephone_number": "734-913-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16846 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-402-2335",
            "fax_number": "734-402-2338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARCUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501018918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence S Lewis
• Destiny Lewis, RN
• Ian Howard Lewis, MD
• Kelly Jean Lewis
• Kevin Lewis, MD
• Paul Lewis, PHARMD
• Rebecca Corsa Lewis, M.S.W.
• Sonya Alene Lewis, M.D.
• Suzanne M Lewis, CRNA
• Taylor Lewis

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.