Ellen Lee, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1573 Issued in OK

Practice address

320 N 4TH Ave
Stroud, OK 74079-3641

Phone

(918) 968-2656

Fax

(918) 968-2659

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fidelity Health Care Consultants, P.C.

  • Rehabilitation Clinic/Center
  • Stroud, OK
  • NPI 1720019953

  Physical Therapist

  NPD (past)
• Structural Rehab

  • Physical Medicine & Rehabilitation Physician
  • Owasso, OK
  • NPI 1891860615
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1154500940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 4TH AVE",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740793641",
            "telephone_number": "918-968-2656",
            "fax_number": "918-968-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 4TH AVE",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740793641",
            "telephone_number": "918-968-2656",
            "fax_number": "918-968-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELLEN",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary R. Kindell, M.D.
• Rosa Dawn Kinslow
• John Kropiewnicki, P.T.
• Cierra Dawn Layman, LPN
• Stacey Michelle Leathers
• Life's Journey Hospice, L.L.C.
• Main Street Family Healthcare Nurse Practitioner Clinic, LLC
• Kaylan Shaye Maston
• Thomas Reid McCullough, DDS
• Kristie Michelle McGuire, ARPN

• Physical Therapist in Stroud, OK
• Providers in Stroud, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.