Suzanne Lewis, OT
Individual provider Active NPI Occupational Therapist · Indianapolis, IN
NPI 1982802088 · NPPES record last updated Feb 10, 2011
Key facts
- NPI
- 1982802088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31000471A (IN)
- Practice address
- 201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301 - Phone
- (317) 817-1200
- Fax
- (317) 208-1551
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thomas a Brady Sports Medicine Center, PC
Practice addresses (Care Compare)
10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200
1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000595 | IN | Practitioner - Occupational Therapist in Private Practice | 1153518824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000471A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Brady Sports Medicine Center, PC | Occupational Therapist | Current |
Accepting new patients |
| Thomas a Brady Sports Medicine Center, PC | Occupational Therapist | Current |
Accepting new patients |
Locations
10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858
201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636
1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31000471A | IN | Yes |
Addresses
Primary practice location
201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301
Mailing address
201 Pennsylvania Pkwy
Suite 100
Indianapolis, IN 46280-2301
Phone (317) 817-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200036940 | Medicaid | IN |
Other providers in Indianapolis, IN
- Shaniece Lewis
- Shanntel N Lewis
- Shapira J Lewis
- Shari Lewis
- Sierra Michelle Maria Lewis
- Teranee Lewis
- Tony Lewis
- Velma L Lewis
- Whitney Lewis
- Stephanie Lewman
All providers in Indianapolis, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.