Individual provider Active NPI

Angela An Liu Lee, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1144990334
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301046 Issued in CA
Practice address
980 Roosevelt Ste 240
Irvine, CA 92620-3671
Phone
(949) 229-5546
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 301046 CA Primary

Addresses

Primary practice location

980 Roosevelt Ste 240
Irvine, CA 92620-3671

Mailing address

980 Roosevelt Ste 240
Irvine, CA 92620-3671
Phone (949) 229-5546

Other practice location 1

4028 E Broadway
Long Beach, CA 90803-1502
Phone (562) 433-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1144990334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ROOSEVELT STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203671",
            "telephone_number": "949-229-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ROOSEVELT STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203671",
            "telephone_number": "949-229-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4028 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908031502",
            "country_code": "US",
            "telephone_number": "562-433-4331",
            "fax_number": "562-433-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELA",
        "middle_name": "AN LIU",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.