IndividualActive
Jessica Lewis, MPT
NPI 1063775443 · Physical Therapist · Flora, IL
Provider details
- NPI number
- 1063775443
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- License
- 070.013027 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone: (618) 662-8060
Fax: (618) 662-8080
Street-level locationGet directions
Mailing address
1775 County Road 2100 N
Cisne, IL 62823-7808
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.