Individual provider Active NPI

Gregory Lew, P.T.

  • Physical Therapist
  • Wrightsville Beach, NC
National Provider Identifier
1922197755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2859 Issued in NC
Practice address
530 Causeway Dr
Ste. B-3
Wrightsville Beach, NC 28480-1959
Phone
(910) 509-2810
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2859 NC Primary

Addresses

Primary practice location

530 Causeway Dr
Ste. B-3
Wrightsville Beach, NC 28480-1959

Mailing address

6417 Chalfont Cir
Wilmington, NC 28405-4195

Other identifiers 3

IdentifierTypeStateIssuer
12537OtherNCBCBS OF NC
7210895MedicaidNC
P00283229OtherNCRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000130 NC Practitioner - Physical Therapist in Private Practice 5092627281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Therapy Franchising LLCGroup PAC ID 8527489582, 17 clinicians

Practice addresses (Care Compare)

530 Causeway Dr
Suite B6
Wrightsville Beach, NC 28480-1954
Phone (910) 509-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2859NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Therapy Franchising, LLC Physical Therapist CurrentSince Oct 31, 2017 Accepting new patients

Locations

530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922197755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 CHALFONT CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CAUSEWAY DR",
            "address_2": "STE. B-3",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801959",
            "telephone_number": "910-509-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "GREGORY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "12537",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210895",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.