LISA LEWIS (DPT) – Physical Therapist, NPI 1760660419

LISA LEWIS (DPT) is a healthcare provider. based in Waterford, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501012760 (MI). The NPI Number for LISA LEWIS (DPT) is 1760660419

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA LEWIS (DPT)
NPI
1760660419
Phone
(248) 673-2762
Address
4206 PONTIAC LAKE RD
Enumeration Date
5 February 2008
Last Update Date
5 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484601572
Graduation Year
2005 (21 years ago)
PAC ID
7416109202
Group Practice PAC ID
6608160627
Professional Enrollment ID
I20121129000565
Address ID
MI483714698OX18XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for LISA LEWIS (DPT)

  • 4206, Pontiac Lake Road, Waterford Township, Oakland County, Michigan, 48328, United States

    WATERFORD, MI 483281261

    Phone: (248) 673-2762

    Fax: (248) 673-3347

    Mailing address matches the actual address.

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: 2012-11-29

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
I20121129000565IPhysical Therapist In Private PracticeMITBD

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 minutes25825$0
97140Therapy procedure using manual technique, each 15 minutes22820$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20322$0
97530Therapy procedure using functional activities13113$0
97161Evaluation for physical therapy, typically 20 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 48328)

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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: 6608160627View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find LISA LEWIS (DPT)'s NPI?
You can confirm LISA LEWIS (DPT) with NPI 1760660419; it appears in the national provider directory.
Is LISA LEWIS (DPT) currently active in the NPI registry?
CMS-published data lists LISA LEWIS (DPT) as an active registrant.
Does LISA LEWIS (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for LISA LEWIS (DPT). Clinical services aligned with this taxonomy classification.
What location shows for LISA LEWIS (DPT)?
We surface Waterford, Michigan for LISA LEWIS (DPT) based on available NPPES addresses.
How can I contact LISA LEWIS (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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