MRS. HOLLY JO LEWIS (PT, DPT, OCS) – Orthopedic Physical Therapist, NPI 1720186562

MRS. HOLLY JO LEWIS (PT, DPT, OCS) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS. They hold a License No. PT-004285 (KY). The NPI Number for MRS. HOLLY JO LEWIS (PT, DPT, OCS) is 1720186562

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY JO LEWIS (PT, DPT, OCS)
NPI
1720186562
Phone
(270) 900-4052
Address
PO BOX 1559
Enumeration Date
20 September 2006
Last Update Date
5 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709004052
Graduation Year
2008 (18 years ago)
PAC ID
2365453842
Group Practice PAC ID
1254574700
Professional Enrollment ID
I20110804000590
Address ID
KY427019118EL2624XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

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Provider Addresses for MRS. HOLLY JO LEWIS (PT, DPT, OCS)

  • Elizabethtown Post Office, 202, Main Street, Elizabethtown, Hardin County, Illinois, 62931, United States

    ELIZABETHTOWN, KY 427021559

    Phone: (270) 900-4052

    Fax: (270) 900-4054

    Type: Mailing

  • Ring Road, Elizabethtown, Hardin County, Kentucky, 42701, United States

    SUITE 101

    ELIZABETHTOWN, KY 427019118

    Phone: (270) 900-4052

    Fax: (270) 900-4054

    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: 2011-08-04

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
I20110804000590IPhysical Therapist In Private PracticeKYTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79425$0
97140Therapy procedure using manual technique, each 15 minutes40521$0
97530Therapy procedure using functional activities26018$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18218$0
97161Evaluation for physical therapy, typically 20 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 42702)

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Provider's Procedures

MRS. HOLLY JO LEWIS (PT, DPT, OCS) 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 THERAPYKY97001Physical therapy evaluation5750

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: 1254574700View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-KY

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. HOLLY JO LEWIS (PT, DPT, OCS)'s NPI?
Yes. MRS. HOLLY JO LEWIS (PT, DPT, OCS) is listed with NPI 1720186562 in the public NPI dataset.
Does the file indicate MRS. HOLLY JO LEWIS (PT, DPT, OCS) is practicing under active NPI?
Directory data currently reports MRS. HOLLY JO LEWIS (PT, DPT, OCS) as active.
What is MRS. HOLLY JO LEWIS (PT, DPT, OCS)'s specialty?
The listing groups MRS. HOLLY JO LEWIS (PT, DPT, OCS) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MRS. HOLLY JO LEWIS (PT, DPT, OCS) serve?
MRS. HOLLY JO LEWIS (PT, DPT, OCS)'s listing highlights Elizabethtown, Kentucky; more addresses can appear in NPPES.
Is the information about MRS. HOLLY JO LEWIS (PT, DPT, OCS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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