Active NPI
Larry Wayne Lewis Jr., PT
- Physical Therapist
- Lenoir, NC
National Provider Identifier
1790702272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7268
- Practice address
- 322 Nuway Cir
Lenoir, NC 28645-3656 - Phone
- (828) 758-7326
- Fax
- (828) 757-0938
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 11, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7268 | NC | Primary |
Addresses
Primary practice location
322 Nuway Cir
Lenoir, NC 28645-3656
Mailing address
5383 Antler Creek Dr
Granite Falls, NC 28630-8813
Phone (828) 244-1073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07916 | Other | NC | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 7268 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenoir Physical Therapy and Sports Injury Rehab | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Lenoir, NC
- NPI 1487647251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473552000000",
"number": "1790702272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5383 ANTLER CREEK DR",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286308813",
"telephone_number": "828-244-1073",
"fax_number": "828-313-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 NUWAY CIR",
"city": "LENOIR",
"state": "NC",
"postal_code": "286453656",
"telephone_number": "828-758-7326",
"fax_number": "828-757-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2016-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "7268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07916",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
- Legacy Healthcare Services, Inc
- Lenoir Operator LLC (Lenoir Health and Rehabilitation Center)
- Lenoir Physical Therapy and Sports Injury Rehab
- John Alexander Leppard, DMD
- Level Four Orthotics & Prosthetics, Inc. (Restore POC)
- Lisa Lewis
- Newman M Lewis Jr., M.D.
- Life Adjustment Solutions
- Lincare Inc (Adult & Pediatric Specialists)
- David Spencer Line, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.