Individual provider Active NPI

John A. Lewis, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1720161730
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6733 Issued in AZ
Practice address
900 W Chandler Blvd Ste a-4
Chandler, AZ 85225-4908
Phone
(602) 430-6286
Fax
(602) 957-2017
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6733 AZ Primary

Addresses

Primary practice location

900 W Chandler Blvd Ste a-4
Chandler, AZ 85225-4908

Mailing address

900 W Chandler Blvd Ste a-4
Chandler, AZ 85225-4908
Phone (602) 430-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427001160 AZ Practitioner - Physical Therapist in Private Practice 9739128976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 W Chandler Blvd
Suite a 4
Chandler, AZ 85225-4908
Phone (480) 887-8725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6733AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Distinct Physical Therapy, PLLC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Work Physical Therapy PLC CurrentSince Sep 30, 2013 Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc Past Accepting new patients
Diamondback Physical Therapy Physical Therapist PastSince Sep 30, 2013 Accepting new patients
Physical Rehabilitation and Hand Centers Inc Physical Therapist Past Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc PastSince Feb 19, 2023 Accepting new patients

Locations

900 W Chandler Blvd
Ste A-4
Chandler, AZ 85225
Phone (480) 496-8964

323 S Gilbert Rd
Ste 115
Gilbert, AZ 85296
Phone (480) 632-6667

22050 E Queen Creek Rd
Queen Creek, AZ 85142
Phone (480) 632-6667

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1720161730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W CHANDLER BLVD STE A-4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254908",
            "telephone_number": "602-430-6286",
            "fax_number": "602-957-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CHANDLER BLVD STE A-4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254908",
            "telephone_number": "602-430-6286",
            "fax_number": "602-957-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "PT6733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.