Active NPI
Trevor G Lewis
- Physical Therapist
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16088
- Practice address
- 1003 Whitform Falls Rd
Knightdale, NC 27545-6361 - Phone
- (315) 271-8974
- NPI assigned
- Jul 16, 2014
- Last updated
- Feb 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208328 | VA | |
| Physical Therapist | 225100000X | 24722 | MD | |
| Physical Therapist | 225100000X | 036429 | NY | |
| Physical Therapist | 225100000X | 1238759 | TX | |
| Physical Therapist | 225100000X | 60549 | OR | |
| Physical Therapist | 225100000X | 16088 | NC | Primary |
Addresses
Primary practice location
1003 Whitform Falls Rd
Knightdale, NC 27545-6361
Mailing address
1003 Whitform Falls Rd
Knightdale, NC 27545-6361
Phone (315) 271-8974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Hargrove Rd
Suite 100
Raleigh, NC 27616-1949
Phone (919) 791-6260
9529 Chapel Hill Rd
Morrisville, NC 27560-7359
Phone (919) 791-6678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24722 | MD | MD | Physical Therapist |
| 16088 | NC | MD | Physical Therapist |
| 036429 | NY | MD | Physical Therapist |
| 60549 | OR | MD | Physical Therapist |
| 1238759 | TX | MD | Physical Therapist |
| 2305208328 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual Physical Therapy, Inc | Current | Accepting new patients | |
| Best Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
1008 Big Oak Ct
Ste A
Knightdale, NC 27545
Phone (919) 266-6416
9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
8410 Louisburg Rd
Ste 130
Raleigh, NC 27616
Phone (919) 514-3177
3200 Nash St N
Wilson, NC 27896
Phone (252) 243-6784
Interoperability endpoints
- trevor.lewis.p12@direct.athleticoltd.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Raleigh, NC
- NPI 1427674019
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
- Physical Therapy Clinic/Center
- Wilson, NC
- NPI 1164860169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1952718454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 WHITFORM FALLS RD",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456361",
"telephone_number": "315-271-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WHITFORM FALLS RD",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456361",
"telephone_number": "315-271-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TREVOR",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208328",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24722",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036429",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1238759",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60549",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.