Holly Jo Lewis, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-004285 Issued in KY

Practice address

2624 Ring Rd
Suite 101
Elizabethtown, KY 42701-9118

Phone

(270) 900-4052

Fax

(270) 900-4054

NPI assigned

Sep 20, 2006

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

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Pros LLCGroup PAC ID 1254574700, 4 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.

• Physical Therapy Pros LLC

  • Physical Therapy Clinic/Center
  • Elizabethtown, KY
  • NPI 1609210194
  Medicare reassignment Care Compare group NPD Authorized official
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1720186562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427021559",
            "telephone_number": "270-900-4052",
            "fax_number": "270-900-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 RING RD",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019118",
            "telephone_number": "270-900-4052",
            "fax_number": "270-900-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HOLLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT-004285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Allan Lemasters, BEHAVIORAL SUPPORT
• Christopher G Leonard
• Nick Lepora, DO
• Guy Lerner, MD
• Judith L. Lesher, CCC-SLP
• Ronald Lewis, CRNA
• Jacquelynn Anne Liddington, PAC
• Life Designs Behavioral Health Center, LLC
• Lighthouse Recovery Residences, LLC
• Lighthouse Sober Solutions LLC

• Orthopedic Physical Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Orthopedic Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.