Gary Lynn Lewis Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2127103 Issued in TX

Practice address

9215 White Rock TRL
Dallas, TX 75238-2593

Phone

(214) 221-4100

NPI assigned

Dec 20, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841706363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 INDEPENDENCE PKWY APT 2907",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235441",
            "telephone_number": "903-805-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 WHITE ROCK TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382593",
            "telephone_number": "214-221-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Spring Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162815",
            "country_code": "US",
            "telephone_number": "469-248-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2127103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Gail Lewis, LPC
• Deri Michelle Lewis, M.D.
• Diamond Desiree Lewis
• Diamond Yvette Lewis
• Doneisha Jenee Lewis
• George Lewis V, PHARMD
• Harold Ray Lewis, MD
• Harrison Lee Lewis
• Hillary Lewis, M.D.
• James Justin Lewis, M.D.

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.