Individual provider Active NPI

Emily Lewis

  • Occupational Therapist
  • Huntington, WV
National Provider Identifier
1700322047
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2091 Issued in WV
Practice address
1402 Commerce Ave
Huntington, WV 25701-1611
Phone
(304) 412-4530
NPI assigned
Jan 10, 2017
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14628430OtherWVCAQH

Other names 1

  • Emily Dearfield Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A03191KYMDPhysical Therapy Assistant
A0946NVMDPhysical Therapy Assistant
09380ORMDPhysical Therapy Assistant
260047KYMDOccupational 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.

Verify at the official NPI Registry.