Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan A Lewis, PT

Individual provider Physical Therapist · NPI 1184145419

Evan A Lewis, PT is a Physical Therapist in Private Practice in Mill Creek, Washington. Qualified in 2017, 9 years ago. Practices with Hana Pono Wellness Center LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284
Phone: (425) 582-5526
Fax: (425) 245-1019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60745388 (WA)

Record details

NPI number1184145419
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESMarch 1, 2018
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hana Pono Wellness Center Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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