Healthcare Provider Details

I. General information

NPI: 1154920080
Provider Name (Legal Business Name): KERRY SWEENEY LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4275 COUNTY LINE RD STE 26
CHALFONT PA
18914-2212
US

IV. Provider business mailing address

29 KULP RD E
CHALFONT PA
18914-3731
US

V. Phone/Fax

Practice location:
  • Phone: 267-952-8120
  • Fax:
Mailing address:
  • Phone: 215-622-1553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number017285
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: