Individual provider Active NPI

Edward P Lee, P.T.

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1255406492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16756 Issued in MD
Practice address
8380 Colesville Rd
200
Silver Spring, MD 20910-6255
Phone
(301) 588-7778
Fax
(301) 588-4147
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16756 MD Primary

Addresses

Primary practice location

8380 Colesville Rd
200
Silver Spring, MD 20910-6255

Mailing address

16610 Harbour Town Dr
Silver Spring, MD 20905-4084
Phone (301) 588-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611002948 FL Practitioner - Physical Therapist in Private Practice 3173511870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Rehabilitation, Inc.Group PAC ID 1355307398, 10 clinicians

Practice addresses (Care Compare)

13801 Bruce B Downs Blvd
Suite 303
Tampa, FL 33613-3939
Phone (813) 979-4819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16756MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, Inc. CurrentSince May 30, 2025 Accepting new patients
Pro-Active Physical Therapy, Inc. Physical Therapist CurrentSince May 30, 2025 Accepting new patients
Advanced Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 303
Tampa, FL 33613
Phone (813) 979-4819

4539 S Dale Mabry Hwy
Ste 110
Tampa, FL 33611
Phone (813) 250-1208

4357 Lynx Paw Trl
Valrico, FL 33596
Phone (813) 250-1208

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255406492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 HARBOUR TOWN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054084",
            "telephone_number": "301-588-7778",
            "fax_number": "301-588-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 COLESVILLE RD",
            "address_2": "200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106255",
            "telephone_number": "301-588-7778",
            "fax_number": "301-588-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDWARD",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.