Individual provider Active NPI

Linda Lee, P.T.A.

  • Physical Therapy Assistant
  • Park Ridge, IL
National Provider Identifier
1164677902
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160005056 Issued in IL
Practice address
444 N Northwest Hwy Ste 202
Park Ridge, IL 60068-3271
Phone
(847) 268-0280
Fax
(847) 268-0283
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160005056 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy Ste 202
Park Ridge, IL 60068-3271

Mailing address

444 N Northwest Hwy Ste 202
Park Ridge, IL 60068-3271
Phone (847) 268-0280

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160005056ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy & Health Services LLC. PastSince Mar 3, 2003 Accepting new patients
Rockford Psychiatric Medical Services, S.C. PastSince Jan 1, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1164677902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683271",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683271",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.