Ellen Lee, R.P.T.

Individual provider Active NPI Physical Therapist · Stroud, OK

NPI 1154500940 · NPPES record last updated Oct 29, 2007

Key facts

NPI
1154500940
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1573 (OK)
Practice address
320 N 4TH Ave
Stroud, OK 74079-3641
Phone
(918) 968-2656
Fax
(918) 968-2659
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelity Health Care Consultants, P.C. Physical Therapist Past Accepting new patients
Structural Rehab Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1573 OK Yes

Addresses

Primary practice location

320 N 4TH Ave
Stroud, OK 74079-3641

Mailing address

320 N 4TH Ave
Stroud, OK 74079-3641
Phone (918) 968-2656

Other providers in Stroud, OK

All providers in Stroud, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.