Active NPI
Sandra Lee
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1194106468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25628
- Practice address
- 6410 Rockledge Dr Ste 600
Bethesda, MD 20817-1844 - Phone
- (301) 581-8030
- Fax
- (301) 581-8031
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25628 | MD | Primary |
Addresses
Primary practice location
6410 Rockledge Dr Ste 600
Bethesda, MD 20817-1844
Mailing address
102 Irving St NW
Washington, DC 20010-2921
Phone (301) 260-3280
Other practice location 1
18109 Prince Philip Dr
Suite B-200
Olney, MD 20832-1519
Phone (301) 260-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25628 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D. Klaiman, M.D., L.C. | Current | Accepting new patients | |
| Mark D. Klaiman, M.D., L.C. PT | Current | Accepting new patients |
Locations
6400 Goldsboro Rd
Ste 340
Bethesda, MD 20817
Phone (301) 244-9099
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 Therapy Clinic/Center
- Bethesda, MD
- NPI 1619465028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1194106468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102921",
"telephone_number": "301-260-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR STE 600",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171844",
"telephone_number": "301-581-8030",
"fax_number": "301-581-8031"
}
],
"practiceLocations": [
{
"address_1": "18109 Prince Philip Dr",
"address_2": "Suite B-200",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "MD",
"postal_code": "208321519",
"country_code": "US",
"telephone_number": "301-260-3280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.