Individual provider Active NPI

Lucia Lee, DPT, OCS, COMT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1063966174
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT872499 Issued in DC
Practice address
1112 16TH St NW Ste 200
Washington, DC 20036-4818
Phone
(202) 223-1737
Fax
(202) 223-1738
NPI assigned
Aug 5, 2016
Last updated
Feb 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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 PT872499 DC Primary

Addresses

Primary practice location

1112 16TH St NW Ste 200
Washington, DC 20036-4818

Mailing address

1112 16TH St NW
Ste 200
Washington, DC 20036-4818
Phone (202) 223-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925003437 DC Practitioner - Physical Therapist in Private Practice 2264762731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Therapy and Rehabilitation LLCGroup PAC ID 8022403781, 5 clinicians

Practice addresses (Care Compare)

1112 16TH St NW
Suite 200
Washington, DC 20036-4818
Phone (202) 223-1737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Therapy and Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1112 16th St NW
Ste 200
Washington, DC 20036
Phone (202) 223-1737

Organizations & group practices 1

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1063966174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW",
            "address_2": "STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364818",
            "telephone_number": "202-223-1737",
            "fax_number": "202-223-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364818",
            "telephone_number": "202-223-1737",
            "fax_number": "202-223-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUCIA",
        "credential": "DPT, OCS, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.