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

Shae Mackenzie Lewis, PT, DPT

Individual provider Physical Therapist · NPI 1356228753

Shae Mackenzie Lewis, PT, DPT is a Physical Therapist in Private Practice in Russellville, Arkansas. Qualified in 2025, 1 year ago. Practices with River Valley Therapy and Sports Medicine Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
1
Licensed in
AR
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2100 W Main St
Russellville, AR 72801-2758
Phone: (479) 968-2525
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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 PT5476 (AR)

Record details

NPI number1356228753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice River Valley Therapy And Sports Medicine Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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