Provider Demographics
NPI:1144850629
Name:LEWIS, JOHN BARRY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BARRY
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 E ALAMEDA AVE UNIT 1817
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6055
Mailing Address - Country:US
Mailing Address - Phone:973-981-0384
Mailing Address - Fax:
Practice Address - Street 1:12500 E ILIFF AVE STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80014-1268
Practice Address - Country:US
Practice Address - Phone:303-731-4620
Practice Address - Fax:303-731-4602
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016759225100000X
MAPTL0016759225100000X
NJ40QA02165900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist