Active NPI
Eric Lee, DPT
- Physical Therapist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14116621
- Practice address
- 1157 N 300 W
Provo, UT 84604-6124 - Phone
- (801) 357-1250
- NPI assigned
- Jul 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | LPT-33029 | AZ | |
| Physical Therapist | 225100000X | 14116621 | UT | Primary |
Addresses
Primary practice location
1157 N 300 W
Provo, UT 84604-6124
Mailing address
43 S 1000 E
Springville, UT 84663-2119
Phone (801) 318-7812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, UT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1157 N 300
Suite 211
Provo, UT 84604-6124
Phone (801) 357-1250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14116621 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Physical Therapy PLC | Physical Therapist | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
6021 S Kings Ranch Rd
Ste 5
Gold Canyon, AZ 85118
Phone (480) 218-1344
2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344
1157 N 300 W
Provo, UT 84604
Phone (801) 357-1200
1157 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 357-1250
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
Organizations & group practices 3
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.
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Physical Therapist
- Mesa, AZ
- NPI 1538258991
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1326727496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 S 1000 E",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846632119",
"telephone_number": "801-318-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 N 300 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846046124",
"telephone_number": "801-357-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERIC",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-14",
"last_updated": "2024-09-04",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33029",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14116621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.