Active NPI
Doyle Lee, DPT
- Physical Therapist
- Irvine, CA
National Provider Identifier
1376845198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37067
- Practice address
- 4482 Barranca Pkwy
Ste #195
Irvine, CA 92604-7701 - Phone
- (949) 679-3337
- Fax
- (949) 679-3336
- NPI assigned
- Nov 30, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37067 | CA | Primary |
Addresses
Primary practice location
4482 Barranca Pkwy
Ste #195
Irvine, CA 92604-7701
Mailing address
4482 Barranca Pkwy
Ste #195
Irvine, CA 92604-7701
Phone (949) 679-3337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR052 | Other | CA | GROUP MEDICARE PTAN |
| EY244Y | Other | CA | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37067 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1376845198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4482 BARRANCA PKWY",
"address_2": "STE #195",
"city": "IRVINE",
"state": "CA",
"postal_code": "926047701",
"telephone_number": "949-679-3337",
"fax_number": "949-679-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4482 BARRANCA PKWY",
"address_2": "STE #195",
"city": "IRVINE",
"state": "CA",
"postal_code": "926047701",
"telephone_number": "949-679-3337",
"fax_number": "949-679-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DOYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "AR052",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "EY244Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.