Individual provider Active NPI

Jenny Lee, PT, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1063691954
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20118 Issued in MD
Practice address
7050 Oakland Mills Rd
Ste 130
Columbia, MD 21046-2269
Phone
(443) 542-0369
NPI assigned
Oct 29, 2007
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20118 MD Primary
Orthopedic Physical Therapist 2251X0800X 20118 MD

Addresses

Primary practice location

7050 Oakland Mills Rd
Ste 130
Columbia, MD 21046-2269

Mailing address

10224 Hatherleigh Dr
Bethesda, MD 20814-2224
Phone (240) 812-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110627000432 DC Practitioner - Physical Therapist in Private Practice 1951589761 Reassigns benefits to 2 organizations
I20200928000243 MD Practitioner - Physical Therapist in Private Practice 1951589761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15904 Luanne Dr
Gaithersburg, MD 20877-1408
Phone (240) 812-9699

7050 Oakland Mills Rd
Columbia, MD 21046-2193
Phone (240) 812-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Physical Therapy & Wellness Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Proactive Hand and Physical Therapy CurrentSince Apr 11, 2011 Accepting new patients
Integrative Chiropractic & Rehabilitation CurrentSince Jul 1, 2020 Accepting new patients
Total Wellness Chiropractic Center of Bowie, LLC PastSince Jul 20, 2010 Accepting new patients

Locations

7050 Oakland Mills Rd
Ste 130
Columbia, MD 21046
Phone (240) 460-4566

15904 Luanne Dr
Gaithersburg, MD 20877
Phone (240) 812-9699

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1063691954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 HATHERLEIGH DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142224",
            "telephone_number": "240-812-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 OAKLAND MILLS RD",
            "address_2": "STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462269",
            "telephone_number": "443-542-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20118",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "20118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.