Individual provider Active NPI

Angelina Kae Lee, P.T.

  • Physical Therapist
  • Juneau, AK
National Provider Identifier
1063707404
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1065 Issued in AK
Practice address
641 W Willoughby Ave
Ste 206
Juneau, AK 99801-1773
Phone
(907) 586-5951
Fax
(907) 586-8017
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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 1065 AK Primary

Addresses

Primary practice location

641 W Willoughby Ave
Ste 206
Juneau, AK 99801-1773

Mailing address

18 Jakins St
Queenstown, TASMANIA 7467
AU
Phone 610364712037

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau Physical Therapy PastSince Jul 1, 2000 Accepting new patients
Juneau Bone & Joint Center, LLC. PastSince Aug 22, 2024 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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1063707404",
    "addresses": [
        {
            "country_code": "AU",
            "country_name": "Australia",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "18 JAKINS ST",
            "city": "QUEENSTOWN",
            "state": "TASMANIA",
            "postal_code": "7467",
            "telephone_number": "610364712037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE",
            "address_2": "STE 206",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011773",
            "telephone_number": "907-586-5951",
            "fax_number": "907-586-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELINA",
        "middle_name": "KAE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.