Clarissa R Lewis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1500 Calvary Church Rd
Crystal Cty, MO 63028-4125

Phone

(573) 719-6906

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1710883145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 STATE ROAD Y",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504511",
            "telephone_number": "573-719-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CALVARY CHURCH RD",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284125",
            "telephone_number": "573-719-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CLARISSA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Harris, FNP-BC
• Lorgis Ignacio Jimenez Perez, MD
• Alexandra Bahar Khodadadi, MD, MSPH
• Brandy Michelle Koch, FNP
• Kortni Lampe, PHARMD
• Hugh Urie Mackenzie IV, FNP
• Makaria Kenzie McMullen, FNP
• Kyungjun Min, PT, DPT, CSCS
• Amber Marie Owens, APRN-CNP
• Jordyne Payne, FNP-BC

• Physical Therapy Assistant in Crystal Cty, MO
• Providers in Crystal Cty, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.