Individual provider Active NPI

Rafael Jae Chul Lee, PT, DPT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1194473132
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301798 Issued in CA
Practice address
10061 Talbert Ave
Suite 100
Fountain Valley, CA 92708
Phone
(714) 632-2822
Fax
(714) 660-2231
NPI assigned
Mar 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 301798 CA Primary

Addresses

Primary practice location

10061 Talbert Ave
Suite 100
Fountain Valley, CA 92708

Mailing address

3230 E. Imperial Hwy
Suite 100
Brea, CA 92821-6735
Phone (714) 988-8110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000489 CA Practitioner - Physical Therapist in Private Practice 2769867472 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10061 Talbert Ave
Suite 100
Fountain Valley, CA 92708-5159
Phone (714) 632-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy - Fountain Valley, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy - Newport, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients

Locations

755 N Shepard St
Anaheim, CA 92806
Phone (714) 630-6252

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

10061 Talbert Ave
Ste 100
Fountain Valley, CA 92708
Phone (714) 632-2822

32 Discovery
Ste 100
Irvine, CA 92618
Phone (949) 271-0010

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

3300 Irvine Ave
Ste 130
Newport Beach, CA 92660
Phone (949) 271-0053

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

13931 Carroll Way
Ste B
Tustin, CA 92780
Phone (714) 988-8120

Organizations & group practices 9

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1194473132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E. IMPERIAL HWY",
            "address_2": "SUITE 100",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216735",
            "telephone_number": "714-988-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE",
            "address_2": "SUITE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-632-2822",
            "fax_number": "714-660-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAFAEL",
        "middle_name": "JAE CHUL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.