Individual provider Active NPI

Nathaniel Lewis

  • Physical Therapy Assistant
  • Colorado Springs, CO
National Provider Identifier
1912331687
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0013209 Issued in CO
Practice address
8540 Scarborough Dr Ste 200
Colorado Springs, CO 80920-7513
Phone
(719) 630-7500
Fax
(719) 630-8099
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0013209 CO Primary
Physical Therapy Assistant 225200000X 08985 OH
Physical Therapy Assistant 225200000X 2099250 TX

Addresses

Primary practice location

8540 Scarborough Dr Ste 200
Colorado Springs, CO 80920-7513

Mailing address

8540 Scarborough Dr Ste 200
Colorado Springs, CO 80920-7513

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0013209COMDPhysical Therapy Assistant
08985OHMDPhysical Therapy Assistant
2099250TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wsi Past Accepting new patients

Organizations & group practices 1

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1912331687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207513",
            "telephone_number": "719-630-7500",
            "fax_number": "719-630-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013209",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "08985",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2099250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.