Lacie Lewandowski, PT, DPT
Individual provider Active NPI Physical Therapist · Lake Tapps, WA
NPI 1801550207 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1801550207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT61475056 (WA)
- Practice address
- 4807 178TH Ave E
Lake Tapps, WA 98391-9126 - Phone
- (770) 561-9313
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61475056 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Mountains Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61475056 | WA | Yes |
Addresses
Primary practice location
4807 178TH Ave E
Lake Tapps, WA 98391-9126
Mailing address
4807 178TH Ave E
Lake Tapps, WA 98391-9126
Phone (770) 561-9313
Other practice location 1
12411 Hymeadow Dr Ste 3
Austin, TX 78750-1874
Phone (213) 893-4268
Other providers in Lake Tapps, WA
- King Pierce DME, Inc
- Lake Tapps Family Medicine, PLLC
- Lakeside Birth Center LLC
- Jessica Lynn Landor
- Lashes & Massage LLC
- Ryan J. Lindsey
- Susan May Llewellyn
- Shirley Konstance Locke
- Aubrey Lough
- Michael Louis Lucchesi
All providers in Lake Tapps, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. 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.