Individual provider Active NPI

Sandra Lee

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1194106468
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25628 Issued in MD
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

Updated by the provider on Jan 19, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20181016003249 DC Practitioner - Physical Therapist in Private Practice 5395097554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25628MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Klaiman, M.D., L.C. CurrentSince Oct 15, 2018 Accepting new patients
Mark D. Klaiman, M.D., L.C. PT CurrentSince Oct 15, 2018 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.

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.

Verify at the official NPI Registry.