Active NPI
Kerri Lewis, PT, DPT, CHT
- Physical Therapist
- San Ramon, CA
National Provider Identifier
1831596584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20680
- Practice address
- 200 Porter Dr
Suite 101
San Ramon, CA 94583-1587 - Phone
- (925) 362-2166
- NPI assigned
- Nov 24, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20680 | CA | Primary |
Addresses
Primary practice location
200 Porter Dr
Suite 101
San Ramon, CA 94583-1587
Mailing address
200 Porter Dr
Suite 215
San Ramon, CA 94583-1587
Other names 1
- Kerri Scott
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20680 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1831596584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 215",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 101",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-362-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KERRI",
"credential": "PT, DPT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "SCOTT",
"credential": "PT, CHT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.