Justin H Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4986 Issued in HI

Practice address

1001 Kamokila Blvd Ste 114
Kapolei, HI 96707-2095

Phone

(808) 674-0500

Fax

(808) 674-0511

NPI assigned

Feb 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1275165078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-199 HOAHELE PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895544",
            "telephone_number": "808-674-0500",
            "fax_number": "808-674-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 114",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072095",
            "telephone_number": "808-674-0500",
            "fax_number": "808-674-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTIN",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT4986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristian Faye Aggasid Lauronal
• Orin Pyrce Lave-Kaaukai
• Bradley Kaipoleimanu Lee, M.D.
• Janice Lee, DDS
• Joseph Lee, RPH
• Kwang Myung Simon Lee, DMD
• Meihlani Lee, APRN-RX, FNP-BC
• Michael Lee
• Subin Lee
• Legacy Management Group LLC

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.