Jason Michael Lee

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

341753-2401 Issued in UT

Practice address

8142 S State St
Ate 103
Midvale, UT 84047-3210

Phone

(801) 708-9226

Fax

(877) 822-8366

NPI assigned

Jun 24, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Davis Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, UT
  • NPI 1386142396
  NPD
• Wasatch Rehab Inc

  • Physical Therapy Clinic/Center
  • Herriman, UT
  • NPI 1811197643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1043506330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 STONE RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215237",
            "telephone_number": "801-943-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 S STATE ST",
            "address_2": "ATE 103",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473210",
            "telephone_number": "801-708-9226",
            "fax_number": "877-822-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "341753-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Garth Larson, L.C.S.W.
• Colleen Lasko
• Dennis C. Law, DVM
• Tiffany Cassandra Leaver
• Adona Almah Lebaron, LMT
• Sarah Lettau
• Keith A Lever, D.D.S
• Ryan Lewis
• Gail Joanne Liese, PH.D.
• Nancy Lieu, LCSW

• Physical Therapist in Midvale, UT
• Providers in Midvale, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.