Justin Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 41176 Issued in CA

Practice address

1607 W Redondo Beach Blvd
Gardena, CA 90247-3241

Phone

(714) 590-3211

Fax

(714) 590-3210

NPI assigned

Mar 31, 2014

Last updated

Mar 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Maum Wellness Physical Therapy Inc

  • Physical Therapist
  • Gardena, CA
  • NPI 1104244805
  Authorized official Same address or phone
• Glenview Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Whittier, CA
  • NPI 1700848835
  NPD (past)
• Next Level Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
  • NPI 1396278388

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1336567023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473241",
            "telephone_number": "714-590-3211",
            "fax_number": "714-590-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473241",
            "telephone_number": "714-590-3211",
            "fax_number": "714-590-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 41176",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunsu Lee
• Ha W Lee, ACUPUNTURIST
• Hae Ok Lee, LAC
• Jae Hak Lee
• Joung N Lee, L.AC.
• Linda J Lee
• Mi-a Lee, DMD
• Milani Scott Lee
• Mylee Lee
• Noriko Lee

• Physical Therapist in Gardena, CA
• Providers in Gardena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.