Provider Demographics
NPI:1740932177
Name:LEWIS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:LEWIS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS
Authorized Official - Phone:978-761-3149
Mailing Address - Street 1:CENTURY SUITES, 100 TRADE CENTER, SOUTH
Mailing Address - Street 2:SUITE G-700
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1817
Mailing Address - Country:US
Mailing Address - Phone:978-761-3149
Mailing Address - Fax:
Practice Address - Street 1:100 TRADE CENTER
Practice Address - Street 2:SUITE G-700
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1817
Practice Address - Country:US
Practice Address - Phone:978-761-3149
Practice Address - Fax:978-281-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty