Individual provider Active NPI

Sydney E Lewis, DPT, ATC

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1902450299
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5214 Issued in AR
Practice address
2440 Augusta Hwy Ste a
Lexington, SC 29072-2247
Phone
(803) 769-3301
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5214 AR Primary

Addresses

Primary practice location

2440 Augusta Hwy Ste a
Lexington, SC 29072-2247

Mailing address

202 Beaver Creek Dr
Columbia, SC 29223-7755
Phone (870) 703-9804

Other practice location 1

10014 North Rodney Parham
Suite 103
Little Rock, AR 72227
Phone (501) 224-5454

Other names 1

  • Sydney E Orr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, SC, HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220924000264 AR Practitioner - Physical Therapist in Private Practice 8921483108 Reassigns benefits to 1 organization
I20240327001106 SC Practitioner - Physical Therapist in Private Practice 8921483108 Reassigns benefits to 1 organization
I20241112004081 HI Practitioner - Physical Therapist in Private Practice 8921483108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elam Sports IncGroup PAC ID 7618880535, 6 clinicians

Practice addresses (Care Compare)

91 -1027 Shangrila St
BLDG 1867
Kapolei, HI 96707-2101
Phone (808) 674-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5214ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aptc of Little Rock, Inc. Physical Therapist CurrentSince Aug 25, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Elam Sports, Inc Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Warfighter'S Clinic PastSince Nov 4, 2024 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303

91-1027 Shangrila St
Bldg 1867
Kapolei, HI 96707
Phone (808) 674-9595

91-1027 Shangrila St
Ste 1867
Kapolei, HI 96707

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

2440 Augusta Hwy
Ste A
Lexington, SC 29072
Phone (803) 769-3301

Organizations & group practices 6

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1902450299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BEAVER CREEK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237755",
            "telephone_number": "870-703-9804",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 AUGUSTA HWY STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722247",
            "telephone_number": "803-769-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10014 North Rodney Parham",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72227",
            "country_code": "US",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SYDNEY",
        "middle_name": "E",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "ORR",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.