Alician Requell Lewis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP028237T Issued in LA

Practice address

4970 Barksdale Blvd Ste 900
Bossier City, LA 71112-4677

Phone

(318) 747-8892

Fax

(318) 747-8893

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Texas Limited Partnership

  • Physical Therapy Clinic/Center
  • Beaumont, TX
  • NPI 1457788267

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1700501319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15135 MEMORIAL DR APT 8310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 BARKSDALE BLVD STE 900",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124677",
            "telephone_number": "318-747-8892",
            "fax_number": "318-747-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 S Mason Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503857",
            "country_code": "US",
            "telephone_number": "281-392-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ALICIAN",
        "middle_name": "REQUELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364824",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP028237T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Christine Leppert, AS
• Leslie Sewell MD & Willis-Knighton Medical Center
• Kelly Patricia Leuck
• Caroline Langley Lewing, DDS
• Lewis Legendary Transport LLC
• Aquaria Lewis
• Bonnie Kate Lewis
• Catrina Lewis, FNP
• Christy Lewis
• Kimberly Lewis

• Physical Therapist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.