Active NPI
Emily Lewis
- Occupational Therapist
- Huntington, WV
National Provider Identifier
1700322047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2091
- Practice address
- 1402 Commerce Ave
Huntington, WV 25701-1611 - Phone
- (304) 412-4530
- NPI assigned
- Jan 10, 2017
- Last updated
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03191 | KY | |
| Physical Therapy Assistant | 225200000X | A0946 | NV | |
| Physical Therapy Assistant | 225200000X | 09380 | OR | |
| Occupational Therapist | 225X00000X | 260047 | KY | |
| Occupational Therapist | 225X00000X | 2091 | WV | Primary |
Addresses
Primary practice location
1402 Commerce Ave
Huntington, WV 25701-1611
Mailing address
109 Bobolink Rd
Russell, KY 41169-1503
Phone (606) 471-0267
Other practice location 1
109 Bobolink Rd
Russell, KY 41169-1503
Phone (606) 471-0267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14628430 | Other | WV | CAQH |
Other names 1
- Emily Dearfield
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elewis@autismwv.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03191 | KY | MD | Physical Therapy Assistant |
| A0946 | NV | MD | Physical Therapy Assistant |
| 09380 | OR | MD | Physical Therapy Assistant |
| 260047 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1700322047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BOBOLINK RD",
"city": "RUSSELL",
"state": "KY",
"postal_code": "411691503",
"telephone_number": "606-471-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 COMMERCE AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011611",
"telephone_number": "304-412-4530"
}
],
"practiceLocations": [
{
"address_1": "109 Bobolink Rd",
"address_purpose": "LOCATION",
"city": "Russell",
"state": "KY",
"postal_code": "411691503",
"country_code": "US",
"telephone_number": "606-471-0267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A03191",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A0946",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "09380",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "260047",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "2091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14628430",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elewis@autismwv.org",
"affiliation": "N",
"endpointDescription": "company email",
"address_1": "1402 Commerce Ave",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257011611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMILY",
"last_name": "DEARFIELD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.