Active NPI
Paul Lee
- Physical Therapist
- Tustin, CA
National Provider Identifier
1225945355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310919
- Practice address
- 2492 Walnut Ave Ste 140
Tustin, CA 92780-6953 - Phone
- (714) 544-2188
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 310919 | CA | Primary |
Addresses
Primary practice location
2492 Walnut Ave Ste 140
Tustin, CA 92780-6953
Mailing address
2317 W Broadway Unit 51
Anaheim, CA 92804-2590
Phone (714) 492-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1225945355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 W BROADWAY UNIT 51",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042590",
"telephone_number": "714-492-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2492 WALNUT AVE STE 140",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806953",
"telephone_number": "714-544-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "310919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.