| Cleophus Lewis, | |
|
5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | |
| (334) 233-1934 | |
| Not Available |
| Full Name | Cleophus Lewis |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 5535 S Williamson Blvd, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083067912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3915 (Alabama) | Primary |
| Provider Name | Empowerme Rehabilitation Georgia, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Cleophus Lewis, Po Box 804, Uniontown, AL 36786-0804 Ph: () - | Cleophus Lewis, 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 Ph: (334) 233-1934 |
Tonika Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Stacy Wojy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Elizabeth Horrall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Joshua Ruiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Emily Noltemeyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Heidi Meramo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Gina Sentelik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-756-4395 |