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

Lacey Marie Lewis, PTA

Individual provider Physical Therapy Assistant · NPI 1649047598

Lacey Marie Lewis, PTA is a Physical Therapy Assistant in Raleigh, North Carolina. Works from 2 locations. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3001 Edwards Mill Rd
Raleigh, NC 27612-5243
Phone: (919) 781-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11200 Galleria Ave Ste 101, Raleigh, NC 27614-8137 — (919) 781-4060

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A6405 (NC)
Physical Therapy Assistant Taxonomy 225200000X · Licence 3684 (SC)

Record details

NPI number1649047598
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

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