Individual provider Active NPI

Kathryn Marie Lewczynski, PT, DPT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1851937106
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10506 Issued in LA
Practice address
119 Representative Row
Lafayette, LA 70508-3833
Phone
(337) 264-9856
Fax
(337) 261-5042
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 10506 LA Primary

Addresses

Primary practice location

119 Representative Row
Lafayette, LA 70508-3833

Mailing address

119 Representative Row
Lafayette, LA 70508-3833
Phone (337) 264-9856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230001431 LA Practitioner - Physical Therapist in Private Practice 3577997501 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10506LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulet Rehabilitation Services, Inc. Single Specialty CurrentSince Nov 2, 2020 Accepting new patients
Dynamic Physical Therapy Services LLC Single Specialty CurrentSince Nov 26, 2019 Accepting new patients
Dynamic Physical Therapy Services PC Single Specialty PastSince Nov 1, 2019 Accepting new patients

Locations

653 Myrtle Dr
Covington, LA 70433
Phone (985) 893-4700

119 Representative Row
Lafayette, LA 70508
Phone (337) 264-9856

7520 Westbank Expy
Ste D
Marrero, LA 70072
Phone (504) 371-4226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1851937106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 REPRESENTATIVE ROW",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083833",
            "telephone_number": "337-264-9856",
            "fax_number": "337-261-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 REPRESENTATIVE ROW",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083833",
            "telephone_number": "337-264-9856",
            "fax_number": "337-261-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWCZYNSKI",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.