Eugene Lee Physical Therapy& Wellness Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 22125 Issued in CA

Legal business name

EUGENE LEE PHYSICAL THERAPY& WELLNESS CENTER

Practice address

2550 Willow LN
Thousand Oaks, CA 91361-4945

Phone

(805) 497-7829

Fax

(805) 497-7839

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Lee, M.P.T.NPI 1942337985

Title

President/Physical Therapist

Phone

(805) 497-7829

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Lee

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1942337985
  Authorized official Same address or phone
• Eunice Sara Lee, DPT

  • Physical Therapist
  • Roseville, CA
  • NPI 1518995596
  NPD (past)
• Robin Joseph Pottukalam, D.P.T.

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1982976866
  NPD (past)
• Nicole Tapking, DPT

  • Orthopedic Physical Therapist
  • Thousand Oaks, CA
  • NPI 1801954706
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255388468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WILLOW LN",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614945",
            "telephone_number": "805-497-7829",
            "fax_number": "805-497-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WILLOW LN",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913614945",
            "telephone_number": "805-497-7829",
            "fax_number": "805-497-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE LEE PHYSICAL THERAPY& WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-497-7829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 22125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Espiritu, L.AC
• Tawny Estes
• Jinous Etemadi, M.D.
• Lindsey Elizabeth Ethridge
• Henry Ettinger, OD
• Richard Craig Evans, LCSW
• Joseph Evaristo, OTR
• Erica Everett, PA-C
• Expert Imaging Inc
• Benica Eyvazzadeh, O.D.

• Physical Therapy Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.