Active NPI
Samuel Yeh-Chang Lee, ATC, CSCS, LMT
- Athletic Trainer
- Honolulu, HI
National Provider Identifier
1356604722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2429 Pali Hwy
Honolulu, HI 96817-1452 - Phone
- (808) 564-0341
- NPI assigned
- Jun 20, 2012
- Last updated
- Jun 20, 2012
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | HI | Primary | |
| Massage Therapist | 225700000X | MAT 9287 | HI |
Addresses
Primary practice location
2429 Pali Hwy
Honolulu, HI 96817-1452
Mailing address
562 Ulukou St
Kailua, HI 96734-4426
Phone (808) 554-1310
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 9287 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1356604722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 ULUKOU ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344426",
"telephone_number": "808-554-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2429 PALI HWY",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171452",
"telephone_number": "808-564-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SAMUEL",
"middle_name": "YEH-CHANG",
"credential": "ATC, CSCS, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "HI",
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT 9287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.