Garrett Bear Caden Lewis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305872 Issued in CA

Practice address

230 Birmingham Dr
Cardiff by the Sea, CA 92007-1722

Phone

(760) 230-1377

NPI assigned

Jul 3, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highline Physical TherapyGroup PAC ID 2769849496, 3 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 and National Provider Directory roles.

• Highline Physical Therapy

  • Physical Therapist
  • Cardiff by the Sea, CA
  • NPI 1831897123
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1700622230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 GLEN VIEW PL",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022631",
            "telephone_number": "619-871-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BIRMINGHAM DR",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071722",
            "telephone_number": "760-230-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GARRETT",
        "middle_name": "BEAR CADEN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Hu, ND
• John Kupper, D.C.
• Ashley Talbot Lanahan, L.AC.
• Dawn Landon, HHP
• Suzann NMN Lennox, MA, MFT
• Karen Anne Leyva, P.T.
• Kimberly Anne Lueck, M.S., CCC-SLP
• Anna Kate Melendez, DC
• David Vincent Alexander Melendez, D.C.
• Lorraine Celeste Melendez, D.C.

• Physical Therapist in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Physical Therapist in California

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