Jeffrey Lee, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0946 Issued in SD

Practice address

1005 N Main St
Mitchell, SD 57301-1351

Phone

(605) 996-4552

Fax

(605) 996-0577

NPI assigned

Dec 28, 2007

Last updated

Jan 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Avera Queen of Peace

  dba AMG Hospitalists Mitchell

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment Care Compare group NPD
• Advanced Physical Therapy Inc.

  • Physical Therapist
  • Mitchell, SD
  • NPI 1699779041
  Authorized official Same address or phone
• Avera Queen of Peace

  dba Avera Weskota Memorial Medical Center

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD
• Avera Queen of Peace

  dba Avera Therapy Mitchell

  • Physical Therapist
  • Mitchell, SD
  • NPI 1922448034
  NPD

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1104000991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011351",
            "telephone_number": "605-996-4552",
            "fax_number": "605-996-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011351",
            "telephone_number": "605-996-4552",
            "fax_number": "605-996-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "0946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833413",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Krall, O.D.
• Joe Krall, O.D.
• Michael Ross Krause, D.O.
• Chris C Krouse, DO
• Karin R Larson, MA-CCC/SLP
• Dennis Gordon Leland, MD
• Kimberly L Lienemann, LIMHP NE; LPC-MH SD
• Life Light Counseling, Inc.
• Lifequest
• Lifequest

• Physical Therapist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.