Maria Therese Lee

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT2391 Issued in CA

Practice address

90 Bosque Ave
Fairfax, CA 94930-2202

Phone

(415) 713-0894

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Therese Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1245629690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BOSQUE AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302202",
            "telephone_number": "415-713-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BOSQUE AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302202",
            "telephone_number": "415-713-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARIA THERESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "OT2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA THERESE",
            "last_name": "LEE",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Ione Holle, MFT
• Jadyn Jim Jamora
• Elizabeth Fletcher Kelly, MA, CCC-SLP
• Katherine Kielich, REGISTERED DIETITIAN
• Genevieve Elizabeth Le Goff, L.AC.
• Jordana Lerios
• Jason Neal Linder, M.A.
• Amy Cecile Logan
• Nancy Lee Malloy, L.AC.
• Pamela Grace Manwaring, R.PH, FASCP

• Physical Rehabilitation Occupational Therapist in Fairfax, CA
• Providers in Fairfax, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.