Active NPI
Lee Taylor Pinkham, DC
- Sports Physician Chiropractor
- Naples, FL
National Provider Identifier
1336845791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH14405
- Practice address
- 6622 Willow Park Dr Ste 202
Naples, FL 34109-9016 - Phone
- (239) 745-5561
- NPI assigned
- Feb 6, 2023
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH14405 | FL | Primary |
Addresses
Primary practice location
6622 Willow Park Dr Ste 202
Naples, FL 34109-9016
Mailing address
2100 Cherry Rd
Washington, NC 27889-7285
Phone (252) 945-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14405 | FL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Spine & Sport, LLC | Sports Physician | Current | Accepting new patients |
Locations
6622 Willow Park Dr
Ste 202
Naples, FL 34109
Phone (239) 745-5561
2240 Venetian Ct
Unit A
Naples, FL 34109
Phone (239) 745-5561
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1336845791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CHERRY RD",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278897285",
"telephone_number": "252-945-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6622 WILLOW PARK DR STE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341099016",
"telephone_number": "239-745-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKHAM",
"first_name": "LEE",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH14405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.