Jacklyn Lee, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT298211 Issued in CA

Practice address

13019 Stockdale Hwy Unit 500
Bakersfield, CA 93314-9504

Phone

(661) 377-1700

Fax

(661) 616-9199

NPI assigned

Mar 7, 2022

Last updated

Mar 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacklyn Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Terrio Therapy-Fitness, Inc.

  dba Terrio Physical Therapy-Fitness, Inc.

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1841267689
  NPD
• Bakersfield Memorial Hospital

  dba Bakersfield Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1346997525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 603",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122514",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13019 STOCKDALE HWY UNIT 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149504",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACKLYN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKLYN",
            "last_name": "NGUYEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evan Lee, PHARMD
• Gowoon Lee, PHARMD
• Hak Soon Lee, M.D.
• Ivan Lee, DO
• Ivan Lee
• Jaimey Lynn Lee, MFTI
• Jay Hyeukjun Lee, DDS
• Jefferson Lee
• Jennifer Lee
• Jessica M. Lee

• Physical Therapist in Bakersfield, CA
• Providers in Bakersfield, 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 11, 2023; 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.