Kathleen Eva Lewis, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005210 Issued in OH

Practice address

1824 Coronado Ave.
Youngstown, OH 44504-1307

Phone

(330) 747-0822

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1700296282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 CORONADO AVE.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041307",
            "telephone_number": "330-747-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 CORONADO AVE.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041307",
            "telephone_number": "330-747-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KATHLEEN",
        "middle_name": "EVA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "5210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT005210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700296282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Shea Lewis
• Charizma M Lewis, LPN
• Domonique Lewis
• Elaine W Lewis, LPCC
• Janya Lewis
• La'Shaya Lewis
• Nicole Kristine Lewis, CNP PMHNP
• Nyasia Lewis, LPC
• Sam Lewis, LSW
• Timothy Alan Lewis, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.