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

Justin J Lewis, PA-C

Individual provider Occupational Therapy Assistant · NPI 1538696356

Justin J Lewis, PA-C is a Physician Assistant in Salem, Kentucky. Qualified in 2017, 9 years ago. Practices with Tri-Rivers Healthcare PLLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

141 Hospital Dr Ste 102
Salem, KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 308 S Main St, Marion, KY 42064-1545 — (270) 965-4377

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2237 (KY)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 136934 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC604 (KY)

Record details

NPI number1538696356
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tri-Rivers Healthcare Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount