Active NPI
Kelvin S Lee
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1124625371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565 - Phone
- (310) 246-1050
- NPI assigned
- Oct 1, 2020
- 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 | Primary |
Addresses
Primary practice location
1335 N la Brea Ave Ste 3
Los Angeles, CA 90028-7565
Mailing address
PO Box 846915
Los Angeles, CA 90084-6915
Phone (310) 246-1050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1915 Bolanos Ave
Rowland Heights, CA 91748-3806
500 W Colorado St
Suite C395
Glendale, CA 91204-1161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1124625371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846915",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900846915",
"telephone_number": "310-246-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 N LA BREA AVE STE 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287565",
"telephone_number": "310-246-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KELVIN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.