DYLAN LEWIS (PT) – Physical Therapist, NPI 1124330147

DYLAN LEWIS (PT) is a healthcare provider. based in Decatur, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070-017834 (IL). The NPI Number for DYLAN LEWIS (PT) is 1124330147

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN LEWIS (PT)
NPI
1124330147
Phone
(217) 864-1264
Address
4857 E US ROUTE 36
Enumeration Date
7 July 2010
Last Update Date
21 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178641264
Graduation Year
2010 (16 years ago)
PAC ID
0941450993
Group Practice PAC ID
7012997638
Professional Enrollment ID
I20121029000131
Address ID
IL625219705DE5255XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for DYLAN LEWIS (PT)

  • 4857 E US ROUTE 36

    DECATUR, IL 625219725

    Phone: (217) 864-1264

    Type: Mailing

  • PO BOX 416501

    BOSTON, MA 022417594

    Phone: (914) 294-4050

    Fax: (631) 760-8306

    Type: Mailing

  • 100 W CHESTNUT ST

    HINSDALE, IL 605213387

    Phone: (630) 481-7350

    Fax: (630) 481-7352

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121029000131IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities3,453263$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,429270$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,247208$0
97535Training for self-care or home management, each 15 minutes699143$0
97140Therapy procedure using manual technique, each 15 minutes19657$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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Provider's Procedures

DYLAN LEWIS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes38351

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012997638View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
-NY

Reviews

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Frequently asked questions

What is the registry number for DYLAN LEWIS (PT)?
The registry entry for DYLAN LEWIS (PT) shows NPI 1124330147.
Should I treat DYLAN LEWIS (PT) as an active provider?
Patients and plans typically see DYLAN LEWIS (PT) as active in the national extract.
Which specialty label fits DYLAN LEWIS (PT)?
NPPES ties DYLAN LEWIS (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DYLAN LEWIS (PT)?
DYLAN LEWIS (PT) is associated with Decatur, Illinois in the same public data insurers reference.
Why is information missing for DYLAN LEWIS (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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