Suzanne Mae Lewis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003760 Issued in WA

Practice address

1427 Jefferson Ave
Suite B-1
Enumclaw, WA 98022-3649

Phone

(360) 802-0244

Fax

(866) 584-9044

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suzanne Mae Wheatly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  NPD (past)
• West Campus Sport & Orthopedic Physical PS Inc.

  • Physical Therapist
  • Federal Way, WA
  • NPI 1205903390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1982771010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 SE 462ND PL",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229318",
            "telephone_number": "360-802-0244",
            "fax_number": "866-584-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE B-1",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-802-0244",
            "fax_number": "866-584-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SUZANNE",
        "middle_name": "MAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0169982",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "WHEATLY",
            "middle_name": "MAE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassie Lee
• Dana Marie Lee, M.D.
• Sarah Lee
• Serena Lee, LMP, BS
• Katey Suzanne Lent
• Yongqing Li, MD
• Devin Kay Lindstrom, DMD
• Living Court Ventures, L.L.C.
• Grant Shih Ming Lo, DDS
• Anna Joan Lockard, MA LMHC

• Physical Therapist in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.