MEDICARE: LEWIN PHYSICAL THERAPY & PERFORMANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1558292128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIN PHYSICAL THERAPY & PERFORMANCE

Provider Business Mailing Address
First Line	:	4024 LADY FERN AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-1440
Country	:	US
Telephone Number	:	818-984-1189
Fax Number	:

Provider Business Practice Location Address
First Line	:	4024 LADY FERN AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-1440
Country	:	US
Telephone Number	:	818-984-1189
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PT
Name	:	AMANDA LEWIN
Credential	:	PT, DPT
Telephone Number	:	818-984-1189

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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