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

Mr. Kelly A Lewis, PT

Individual provider Licensed Psychiatric Technician · NPI 1497006662

Mr. Kelly A Lewis, PT is a Licensed Psychiatric Technician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

2180 Johnson Ave
San Luis Obispo, CA 93401-4513
Phone: (805) 781-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT36628 (CA)

Record details

NPI number1497006662
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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