Provider Demographics
NPI:1568660868
Name:LEWIS, SARI A (SARI LEWIS)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:A
Last Name:LEWIS
Suffix:
Gender:F
Credentials:SARI LEWIS
Other - Prefix:
Other - First Name:SARI
Other - Middle Name:ANN
Other - Last Name:LEFCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SARI LEWIS, OTRL
Mailing Address - Street 1:14700 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:#157 PMB 350
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2046
Mailing Address - Country:US
Mailing Address - Phone:480-998-8448
Mailing Address - Fax:480-451-1352
Practice Address - Street 1:10601 N HAYDEN RD
Practice Address - Street 2:SUITE I-108
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5570
Practice Address - Country:US
Practice Address - Phone:480-998-8448
Practice Address - Fax:480-451-1352
Is Sole Proprietor?:No
Enumeration Date:2007-07-07
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0834225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0834OtherAZ OT LICENSE
AZ76407Medicare UPIN