Active NPI
Lawrence Edward Lewis, LMT
- Massage Therapist
- Silver Spring, MD
National Provider Identifier
1730845751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- R02723
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT2273 | DC | MD | Massage Therapist |
| R02723 | MD | MD | Massage Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT2273 | DC | |
| Massage Therapist | 225700000X | R02723 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.