| Shayne N Lewis, MOT | |
|
1140 Collinsville Crossing Blvd, Collinsville, IL 62234-1880 | |
| (618) 578-5901 | |
| Not Available |
| Full Name | Shayne N Lewis |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1140 Collinsville Crossing Blvd, Collinsville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467082560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2020033416 (Missouri) | Secondary |
| 225X00000X | Occupational Therapist | 056013632 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayne N Lewis, MOT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5581 Ph: (630) 575-1980 | Shayne N Lewis, MOT 1140 Collinsville Crossing Blvd, Collinsville, IL 62234-1880 Ph: (618) 578-5901 |
Laura Gertz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeview Ln, Collinsville, IL 62234 Phone: 186-580-0905 | |
Mrs. Jacqueline D Stroud, OT/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Roger Dr, Collinsville, IL 62234 Phone: 618-791-3923 | |
Marissa Wenos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Orchid Dr, Collinsville, IL 62234 Phone: 618-791-7275 | |
Maria Nicole Luebbers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1207 Vandalia St, Collinsville, IL 62234 Phone: 618-215-5315 | |
Playworks, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Lakeview Ln, Collinsville, IL 62234 Phone: 618-580-0905 | |
Kristen Hamlin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1140 Collinsville Crossing Blvd, Collinsville, IL 62234 Phone: 618-578-5900 |