IndividualActive
Fawn Lewis
NPI 1104457787 · Physical Therapy Assistant · Monument, CO
Provider details
- NPI number
- 1104457787
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8133471495 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
16055 Old Forest PT Ste 101b
Monument, CO 80132-8670
Phone: (719) 247-8916
Approximate (ZIP-level) locationGet directions
Mailing address
16055 Old Forest PT Ste 101b
Monument, CO 80132-8670
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.