Organization Active NPI

Victoria Lee LLC

  • Physical Therapy Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1114720620
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VICTORIA LEE LLC
Practice address
187 E Crystal Lake Ave Unit 1005
Lake Mary, FL 32746-3231
Phone
(321) 320-6904
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dakota PorterNPI 1710735485
Title
Co-Owner/MGR
Phone
(407) 820-6695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

187 E Crystal Lake Ave Unit 1005
Lake Mary, FL 32746-3231

Mailing address

586 Horseman Dr
Oviedo, FL 32765-6786

National Provider Directory

National Provider Directory

Locations

187 E Crystal Lake Ave
Unit 1005
Lake Mary, FL 32746
Phone (321) 320-6904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1114720620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 HORSEMAN DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E CRYSTAL LAKE AVE UNIT 1005",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463231",
            "telephone_number": "321-320-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA LEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_title_or_position": "CO-OWNER/MGR",
        "authorized_official_telephone_number": "407-820-6695"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.