Individual provider Active NPI

Karen L Lee, MPT

  • Physical Therapist
  • Hayden, ID
National Provider Identifier
1093725780
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8725 Issued in ID
Practice address
8300 N Wayne Dr
Hayden, ID 83835-6027
Phone
(208) 772-9774
Fax
(208) 772-9564
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00005717 WA
Physical Therapist 225100000X 2363 OR
Physical Therapist 225100000X PT8725 ID Primary

Addresses

Primary practice location

8300 N Wayne Dr
Hayden, ID 83835-6027

Mailing address

8300 N Wayne Dr
Hayden, ID 83835-6027
Phone (208) 772-9774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727003751 ID Practitioner - Physical Therapist in Private Practice 6608874805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Tree Physical Therapy PLLCGroup PAC ID 8123007598, 2 clinicians

Practice addresses (Care Compare)

8300 N Wayne Dr
Hayden, ID 83835-6027
Phone (208) 772-9774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8725IDMDPhysical Therapist
2363ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Tree Physical Therapy PLLC CurrentSince Jul 8, 2023 Accepting new patients

Locations

8300 N Wayne Dr
Hayden, ID 83835
Phone (208) 772-9774

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1093725780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356027",
            "telephone_number": "208-772-9774",
            "fax_number": "208-772-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356027",
            "telephone_number": "208-772-9774",
            "fax_number": "208-772-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2363",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.