Individual provider Active NPI

Michael Jeffrey Lee, PT DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1164416913
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5259 Issued in AZ
Practice address
6970 N Oracle Rd
Suite 130
Tucson, AZ 85704-4237
Phone
(520) 219-5825
Fax
(520) 219-5827
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5259 AZ Primary

Addresses

Primary practice location

6970 N Oracle Rd
Suite 130
Tucson, AZ 85704-4237

Mailing address

PO Box 35052
Tucson, AZ 85740-5052
Phone (520) 219-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000864 AZ Practitioner - Physical Therapist in Private Practice 4284526013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Shoulder Elbow and Hand Center PCGroup PAC ID 7113905282, 9 clinicians

Practice addresses (Care Compare)

4727 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 290-4263

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5259AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Sendero Medicine, PLLC CurrentSince Sep 26, 2023 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Dec 1, 2022 Accepting new patients
Southwest Shoulder Elbow & Hand Center PC CurrentSince Sep 26, 2023 Accepting new patients
Sonoran Shoulder Elbow Hand Rehab PC Past Accepting new patients
Maximum Impact Physical Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

1790 E River Rd
Ste 101
Tucson, AZ 85718
Phone (520) 783-3344

8770 N Thornydale Rd
Ste 100
Tucson, AZ 85742
Phone (520) 742-7107

7530 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 202-2030

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

7601 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 293-5551

4727 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 290-4263

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1164416913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35052",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405052",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 N ORACLE RD",
            "address_2": "SUITE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044237",
            "telephone_number": "520-219-5825",
            "fax_number": "520-219-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.