Active NPI
Edward P Lee, P.T.
- Physical Therapist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16756
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16756 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation, Inc. | Current | Accepting new patients | |
| Pro-Active Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1881610046
-
dba Physical Therapy and Sports Assessment Center
- Physical Therapist
- Silver Spring, MD
- NPI 1861567018
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1881682078
Physical Therapist
-
- Physical Therapist
- Valrico, FL
- NPI 1427505627
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.