Active NPI
Andre E P Lee, PTA
- Physical Therapy Assistant
- Washington, DC
National Provider Identifier
1013431832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA000157
- Practice address
- 1712 I St NW Ste 305
Washington, DC 20006-3766 - Phone
- (202) 669-8098
- Fax
- (202) 525-1249
- NPI assigned
- Aug 2, 2017
- 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 Therapy Assistant | 225200000X | PTA000157 | DC | Primary |
Addresses
Primary practice location
1712 I St NW Ste 305
Washington, DC 20006-3766
Mailing address
1712 I St NW Ste 305
Washington, DC 20006-3766
Phone (202) 669-8098
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 |
|---|---|---|---|
| PTA000157 | DC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013431832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 I ST NW STE 305",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200063766",
"telephone_number": "202-669-8098",
"fax_number": "202-525-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 I ST NW STE 305",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200063766",
"telephone_number": "202-669-8098",
"fax_number": "202-525-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANDRE",
"middle_name": "E P",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DC",
"license": "PTA000157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.