Carla Sue Lewis, PT, DPT
Individual provider Active NPI Physical Therapist · Tuscola, TX
NPI 1740529692 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1740529692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1227326 (TX)
- Practice address
- 314 County Road 676
Tuscola, TX 79562-3720 - Phone
- (325) 665-5522
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1227326 | TX | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1227326 | TX | Yes |
Addresses
Primary practice location
314 County Road 676
Tuscola, TX 79562-3720
Mailing address
314 County Road 676
Tuscola, TX 79562-3720
Phone (325) 665-5522
Other providers in Tuscola, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.