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

Reginald D Lewis, PA

Individual provider Physician Assistant · NPI 1013121565

Reginald D Lewis, PA is a Physician Assistant in Minnetonka, Minnesota. Works from 2 locations. Licensed in Illinois, Minnesota, Oregon and Washington.

Licensed in
IL, MN, OR, WA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone: (952) 835-9880
Fax: (952) 857-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 598-5672

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12450 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 085.005279 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA10005271 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA01229 (OR)

Record details

NPI number1013121565
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESMarch 17, 2018
Mailing address1959 Ne Pacific St, Box 356174, Seattle, WA 98195-0001

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