Physician Compare National (NPI:1457419939)

HEALTHCARE PROVIDER: JOEL EMERSON LEWIS PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457419939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840487351
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101209001051
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEWIS
	Individual professional last name
Provider First Name	JOEL
	Individual professional first name
Provider Middle Name	EMERSON
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2748 MILTON WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	MILTON
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	983549379
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y