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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMAN LEWIS, PTA

Active Sole Proprietor

IMAN LEWIS, PTA is a Occupational Therapist healthcare provider located in FORT WALTON BEACH, Florida. NPI 1053136606 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT WALTON BEACH, FL

Registration Details

NPI Number
1053136606
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2024 (1.7041708829034 yrs)
Last Updated
Oct 19, 2025
Licenses
34110 (FL)
PTA005280 (GA)
Sole Proprietor
Yes

Practice Information

Address
661 RANDALL ROBERTS RD
FORT WALTON BEACH, FL, 325474943
Browse FL providers · Browse ZIP 32547
Phone
8502664534
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in FORT WALTON BEACH, FL

Name Credential NPI
ALICE KAY GROHOSKE PTA 1619148111
PHILLIP Z OSTROWSKI PTA 1710211750
TRACI JOHNSON PTA 1750610762
MRS. SUSAN THERESA WARDROP P.T.A. 1821390642
MISS CYNTHIA LEIGH TISDALE PTA 1275893463
TERESA L FELSTEAD PTA 1881037638
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.