Individual provider Active NPI

Brian H Lee, OTR/L

  • Occupational Therapist
  • Pasadena, CA
National Provider Identifier
1225604549
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
837 S Fair Oaks Ave Ste 102
Pasadena, CA 91105-2628
Phone
(626) 486-9494
NPI assigned
May 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

837 S Fair Oaks Ave Ste 102
Pasadena, CA 91105-2628

Mailing address

16703 Nicklaus Dr Unit 29
Sylmar, CA 91342-1778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001424 CA Practitioner - Occupational Therapist in Private Practice 1355742388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Orthopedic Surgical GroupGroup PAC ID 8224026596, 18 clinicians

Practice addresses (Care Compare)

39 Congress St
Suite 200
Pasadena, CA 91105-3024
Phone (626) 795-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Orthopedic Surgical Group CurrentSince Jun 21, 2021 Accepting new patients

Locations

39 Congress St
Ste 200
Pasadena, CA 91105
Phone (626) 795-0282

837 S Fair Oaks Ave
Ste 204
Pasadena, CA 91105
Phone (626) 627-2141

837 S Fair Oaks Ave
Ste 102
Pasadena, CA 91105
Phone (626) 486-9494

Organizations & group practices 1

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1225604549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 NICKLAUS DR UNIT 29",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S FAIR OAKS AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052628",
            "telephone_number": "626-486-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "middle_name": "H",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.