Individual provider Active NPI

Barbara Jeanne Lewis, MSPT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1962797928
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4380 Issued in SC
Practice address
690 Medical Park Dr
Aiken, SC 29801-6348
Phone
(803) 648-8344
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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 4380 SC Primary

Addresses

Primary practice location

690 Medical Park Dr
Aiken, SC 29801-6348

Mailing address

121 Longridge Loop
Aiken, SC 29803-7939
Phone (803) 502-1530

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4380SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move, Learn, Play, Inc. CurrentSince Aug 29, 2016 Accepting new patients
Hitchcock Healthcare, Incorporated Physical Therapist CurrentSince Jun 12, 2012 Accepting new patients

Locations

7011 Gum Branch Rd
Richlands, NC 28574
Phone (910) 290-2170

690 Medical Park Dr
Aiken, SC 29801
Phone (803) 221-7984

10588 Dunbarton Blvd
Barnwell, SC 29812
Phone (803) 259-5838

Organizations & group practices 2

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1962797928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LONGRIDGE LOOP",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037939",
            "telephone_number": "803-502-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016348",
            "telephone_number": "803-648-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BARBARA",
        "middle_name": "JEANNE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.