Active NPI
Megan Lee, OTR
- Physical Medicine & Rehabilitation Physician
- Daytona Beach, FL
National Provider Identifier
1003528308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 23762
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-3470
- NPI assigned
- Dec 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 23762 | FL | Primary |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
6450 Nona CT
Port Orange, FL 32128-7312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23762 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1003528308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 NONA CT",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MEGAN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "23762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.