Provider Demographics
NPI:1851365787
Name:LEWIS, MEGAN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 PARNASSUS AVE
Mailing Address - Street 2:APT.# 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4247
Mailing Address - Country:US
Mailing Address - Phone:415-706-0526
Mailing Address - Fax:
Practice Address - Street 1:THREE EMBARCADERO CENTER
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-495-2225
Practice Address - Fax:415-494-2228
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT188560Medicare PIN