NPIMap

Individual provider Active NPI

Muriel Joan Lee, P. T.

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1053755769
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2775252401 Issued in UT
Practice address
4568 S Highland Dr Ste 180
Salt Lake City, UT 84117-4236
Phone
(801) 251-0257
Fax
(801) 251-0259
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2775252401 UT Primary
Cardiopulmonary Physical Therapist 2251C2600X 2775252401 UT
Geriatric Physical Therapist 2251G0304X 2775252401 UT
Hand Physical Therapist 2251H1200X 2775252401 UT
Neurology Physical Therapist 2251N0400X 2775252401 UT
Pediatric Physical Therapist 2251P0200X 2775252401 UT
Sports Physical Therapist 2251S0007X 2775252401 UT
Orthopedic Physical Therapist 2251X0800X 2775252401 UT

Addresses

Primary practice location

4568 S Highland Dr Ste 180
Salt Lake City, UT 84117-4236

Mailing address

4568 S Highland Dr Ste 180
Salt Lake City, UT 84117-4236
Phone (801) 251-0257

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

LicenseStateTypeSpecialty
2775252401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Physical Therapy and Rehabilation Center Past Accepting new patients
Utah Bone & Joint Center LC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1053755769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "801-251-0257",
            "fax_number": "801-251-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174236",
            "telephone_number": "801-251-0257",
            "fax_number": "801-251-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MURIEL",
        "middle_name": "JOAN",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "2775252401",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "2775252401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.