Active NPI
Kevin Lee, DPT
- Physical Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1017 S Fair Oaks Ave
Pasadena, CA 91105-2621 - Phone
- (626) 403-6200
- Fax
- (626) 403-2580
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | Primary |
Addresses
Primary practice location
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Mailing address
224 N Fair Oaks Ave
Suite 300
Pasadena, CA 91103-3618
Phone (626) 696-1400
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42212 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Physical Therapist | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Physical Therapist | Past | Accepting new patients |
| Americare Medical Center, Inc | Past | Accepting new patients |
Locations
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
224 N Fair Oaks Ave
Ste 300
Pasadena, CA 91103
Phone (626) 696-1451
Organizations & group practices 6
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.
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Family Medicine Physician
- Rosemead, CA
- NPI 1275695181
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
Physical Therapist
-
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
Physical Therapist
-
- Acupuncturist
- Rosemead, CA
- NPI 1609071414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1104216183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N FAIR OAKS AVE",
"address_2": "SUITE 300",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033618",
"telephone_number": "626-696-1400",
"fax_number": "626-696-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052621",
"telephone_number": "626-403-6200",
"fax_number": "626-403-2580"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.