MEDICARE: MR. HANK JOSEPH LEWIS PT

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	PT 006084	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000134710	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1619990785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HANK JOSEPH LEWIS PT

Provider Business Mailing Address
First Line	:	PO BOX 87
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-0087
Country	:	US
Telephone Number	:	330-875-1300
Fax Number	:	330-875-1311

Provider Business Practice Location Address
First Line	:	513 E MAIN ST
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-1421
Country	:	US
Telephone Number	:	330-875-1300
Fax Number	:	330-875-1311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/10/2021

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Directions to “ MR. HANK JOSEPH LEWIS PT” Practice Location

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