Shelly Wilson Lee, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06505 Issued in LA

Practice address

620 School St
Houma, LA 70360

Phone

(985) 872-3285

Fax

(985) 872-3205

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rhodes Rehabilitation LLC

  • Physical Therapist
  • Houma, LA
  • NPI 1992855035
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053437533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 TANGLEWOOD DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70364",
            "telephone_number": "985-876-6522",
            "fax_number": "985-872-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SCHOOL ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-872-3285",
            "fax_number": "985-872-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHELLY",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475998",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laton Frye Ledet, LSCW
• Logan Ledet, MD
• Matthew Ledet
• Meredith Winder Ledet
• Charles J. Ledoux Jr., M.D.
• Andrew David Lefevre, CRNA
• Kayla Troxler Lefort
• Bethany M Legendre, PMHNP-BC
• Derek Legendre, PHARMD
• Liana Lekishvili, MD

• Physical Therapist in Houma, LA
• Providers in Houma, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.