Active NPI
Jason Donald Lee, PT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1174858310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007968
- Practice address
- 3650 J Dewey Gray Cir
Augusta, GA 30909-1867 - Phone
- (706) 863-9797
- Fax
- (706) 860-7686
- NPI assigned
- Oct 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT007968 | GA | |
| Physical Therapist | 225100000X | PT007968 | GA | Primary |
| Physical Therapist | 225100000X | PT.9934 | SC |
Addresses
Primary practice location
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Mailing address
PO Box 14039
Augusta, GA 30919-0039
Phone (706) 863-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Duluth, GA 30097
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9934 | SC | MD | General Practice Dentistry |
| PT007968 | GA | MD | Physical Therapist |
| PT.9934 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Ga, LLC | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1023544624
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1174858310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14039",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309190039",
"telephone_number": "706-863-9797",
"fax_number": "706-860-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797",
"fax_number": "706-860-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JASON",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT007968",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007968",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.9934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.