Active NPI
Louis Albert Lee, PT, DPT
- Physical Therapist
- Portland, TN
National Provider Identifier
1043764400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9723
- Practice address
- 215 Highland Circle Dr
Portland, TN 37148-4918 - Phone
- (615) 325-9263
- NPI assigned
- Aug 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9723 | TN | Primary |
| Physical Therapist | 225100000X | PT28173 | FL |
Addresses
Primary practice location
215 Highland Circle Dr
Portland, TN 37148-4918
Mailing address
103B Emily LN
Portland, TN 37148-2614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170524000287 | FL | Practitioner - Physical Therapist in Private Practice | 8921375973 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9723 | TN | MD | Physical Therapist |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services Inc | Current | Accepting new patients | |
| Cora Health Services, Inc | Current | Accepting new patients | |
| Florida First Care, Inc. | Past | Accepting new patients |
Locations
1114 Bichara Blvd
The Villages, FL 32159
Phone (352) 557-0832
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
- Home Health Agency
- Orange Park, FL
- NPI 1215220421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1043764400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103B EMILY LN",
"city": "PORTLAND",
"state": "TN",
"postal_code": "371482614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHLAND CIRCLE DR",
"city": "PORTLAND",
"state": "TN",
"postal_code": "371484918",
"telephone_number": "615-325-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LOUIS ALBERT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9723",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.