Active NPI
Katherine Lewis, PT
- Geriatric Physical Therapist
- Decatur, GA
National Provider Identifier
1780455949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Practice address
- 1882 Clairmont Rd
Decatur, GA 30033-3420 - Phone
- (404) 496-6794
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Primary |
Addresses
Primary practice location
1882 Clairmont Rd
Decatur, GA 30033-3420
Mailing address
39 Fairfield Dr
Avondale Estates, GA 30002-1421
Phone (404) 229-9875
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1780455949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 FAIRFIELD DR",
"city": "AVONDALE ESTATES",
"state": "GA",
"postal_code": "300021421",
"telephone_number": "404-229-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1882 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333420",
"telephone_number": "404-496-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.