Individual provider Active NPI

Lawrence Edward Lewis, LMT

  • Massage Therapist
  • Silver Spring, MD
National Provider Identifier
1730845751
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
R02723 Issued in MD
Practice address
8120 Fenton St Ste 301D
Silver Spring, MD 20910-4796
Phone
(240) 543-2343
NPI assigned
Nov 14, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT2273DCMDMassage Therapist
R02723MDMDMassage Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT2273 DC
Massage Therapist 225700000X R02723 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

8120 Fenton St Ste 301D
Silver Spring, MD 20910-4796

Mailing address

1915 Featherwood St
Silver Spring, MD 20904-6644
Phone (240) 543-2343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2021.

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1730845751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 FEATHERWOOD ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046644",
            "telephone_number": "240-543-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 FENTON ST STE 301D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104796",
            "telephone_number": "240-543-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LAWRENCE",
        "middle_name": "EDWARD",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT2273",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R02723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.