Active NPI
Elizabeth N Lee, DPT
- Physical Therapist
- Marinette, WI
National Provider Identifier
1306196670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11976-24
- Practice address
- 3200 Shore Dr
Marinette, WI 54143-4292 - Phone
- (715) 732-8610
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019296 | IL | |
| Physical Therapist | 225100000X | 11976-24 | WI | Primary |
Addresses
Primary practice location
3200 Shore Dr
Marinette, WI 54143-4292
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other names 1
- Elizabeth N Dobbins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019296 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Regional Medical Center-Neenah, Inc. | Past | Accepting new patients |
Interoperability endpoints
- elee177978@direct.thedacare.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1306196670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SHORE DR",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434292",
"telephone_number": "715-732-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIZABETH",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019296",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11976-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DOBBINS",
"middle_name": "N",
"credential": "D-PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.