Active NPI
Tekia Nichelle Lee, MPT
- Physical Therapist
- Smyrna, DE
National Provider Identifier
1154355733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002733
- Practice address
- 208 N Dupont Blvd
Smyrna, DE 19977-1511 - Phone
- (302) 653-8389
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | PT016469 | PA | |
| Physical Therapist | 225100000X | J1-0002733 | DE | Primary |
Addresses
Primary practice location
208 N Dupont Blvd
Smyrna, DE 19977-1511
Mailing address
208 N Dupont Blvd
Smyrna, DE 19977-1511
Phone (302) 653-8389
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002733 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1154355733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N DUPONT BLVD",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771511",
"telephone_number": "302-653-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N DUPONT BLVD",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771511",
"telephone_number": "302-653-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TEKIA",
"middle_name": "NICHELLE",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "PA",
"license": "PT016469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.