Individual provider Active NPI

Jeffrey Lee, PT

  • Physical Therapist
  • Mesquite, NV
National Provider Identifier
1053093575
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6229 Issued in NV
Practice address
340 Falcon Ridge Pkwy
Mesquite, NV 89027-8850
Phone
(702) 346-3105
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6229 NV Primary

Addresses

Primary practice location

340 Falcon Ridge Pkwy
Mesquite, NV 89027-8850

Mailing address

340 Falcon Ridge Pkwy
Mesquite, NV 89027-8850
Phone (702) 346-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231003002077 NV Practitioner - Physical Therapist in Private Practice 9638523038 Reassigns benefits to 1 organization
I20240719002599 UT Practitioner - Physical Therapist in Private Practice 9638523038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

652 S Medical Ctr Dr
Suite LL10
St George, UT 84790-7269
Phone (435) 251-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.42 of 100Reported as group
Quality
45.41
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Aug 20, 2023 Accepting new patients

Locations

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027
Phone (702) 346-3100

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1053093575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEFFREY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.