Active NPI
John J Lewczyk, PT
- Physical Therapist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7090
- Practice address
- 112 Harding St
Worcester, MA 01604-5020 - Phone
- (508) 964-5592
- Fax
- (508) 453-8185
- NPI assigned
- Jan 10, 2006
- Last updated
- Nov 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7090 | MA | Primary |
Addresses
Primary practice location
112 Harding St
Worcester, MA 01604-5020
Mailing address
5 Neponset St FL ST2
Worcester, MA 01606-2714
Phone (508) 856-9510
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2779432 | Other | CIGNA HEALTH PLAN | |
| 43207 | Other | FALLON COMMUNITY HEALTH | |
| Y67941 | Other | BLUE SHIELD HMO BLUE | |
| 56640 | Other | CHILDRENS MEDICAL SECURIT | |
| 650017412 | Other | RAILROAD MEDICARE | |
| Y68466 | Other | MEDICARE B | |
| 0318949 | Other | MEDICAID WELFARE | |
| Y67941 | Other | BLUE SHIELD INDEMNITY | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 2779432001 | Other | CIGNA PAL ID | |
| 785957 | Other | MVP HEALTH CARE | |
| 0318949 | Medicaid | MA | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 042472266 | Other | THREE RIVERS | |
| 35481155 | Other | CIGNA HEALTHSOURCE | |
| 7199625 | Other | AETNA US HEALTHCARE | |
| AA4052 | Other | HARVARD PILGRIM HEALTHCAR | |
| Y67941 | Other | BLUE CARE ELECT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Harding St
Worcester, MA 01604-5466
Phone (508) 964-5592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7090 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Physical Therapist | Current | Accepting new patients |
| Reliant Medical Group, Inc | Current | Accepting new patients |
Locations
112 Harding St
Worcester, MA 01604
Phone (508) 964-5592
135 Gold Star Blvd
Worcester, MA 01606
Phone (508) 459-6400
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl ST2
Worcester, MA 01606
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
Interoperability endpoints
- john.lewczyk.npi1700865672.reliant@direct.optumcare.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1700865672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL ST2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-856-9510",
"fax_number": "508-853-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HARDING ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016045020",
"telephone_number": "508-964-5592",
"fax_number": "508-453-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWCZYK",
"first_name": "JOHN",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "7090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "2779432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "43207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "Y67941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "56640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650017412",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "Y68466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0318949",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "Y67941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "2779432001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "785957",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318949",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHSOURCE",
"identifier": "35481155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7199625",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA4052",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "Y67941",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.