Individual provider Active NPI

Trevor G Lewis

  • Physical Therapist
  • Knightdale, NC
National Provider Identifier
1952718454
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16088 Issued in NC
Practice address
1003 Whitform Falls Rd
Knightdale, NC 27545-6361
Phone
(315) 271-8974
NPI assigned
Jul 16, 2014
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160517001793 NC Practitioner - Physical Therapist in Private Practice 6204148869 Reassigns benefits to 3 organizations

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
Best Physical Therapy LLCGroup PAC ID 8729401625, 75 clinicians

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

LicenseStateTypeSpecialty
24722MDMDPhysical Therapist
16088NCMDPhysical Therapist
036429NYMDPhysical Therapist
60549ORMDPhysical Therapist
1238759TXMDPhysical Therapist
2305208328VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Physical Therapy, Inc CurrentSince Mar 1, 2016 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jan 27, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.