Individual provider Active NPI

Lee James Walsh, PT, MPT

  • Physical Therapist
  • Madera, CA
National Provider Identifier
1376944066
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40951 Issued in CA
Practice address
1653 N Schnoor Ave Ste 107
Madera, CA 93637-3613
Phone
(559) 831-2050
Fax
(559) 660-5341
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40951 CA Primary

Addresses

Primary practice location

1653 N Schnoor Ave Ste 107
Madera, CA 93637-3613

Mailing address

701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806

Other practice location 1

1243 E Spruce Ave
Suite 105
Fresno, CA 93720-3379
Phone (559) 431-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204000005 CA Practitioner - Physical Therapist in Private Practice 0941525430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drysdale Physical Therapy, IncGroup PAC ID 9032274220, 3 clinicians

Practice addresses (Care Compare)

7275 N 1St St
Suite 106
Fresno, CA 93720-2977
Phone (559) 431-6700

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
80
Improvement activities
40
Cost
81.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40951CAMDMarriage & Family Therapist
PT40951CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients

Locations

1653 N Schnoor Ave
Ste 107
Madera, CA 93637
Phone (559) 831-2050

1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200

701 W Center Ave
Visalia, CA 93291

Organizations & group practices 3

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1376944066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916015",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 N SCHNOOR AVE STE 107",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373613",
            "telephone_number": "559-831-2050",
            "fax_number": "559-660-5341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 E Spruce Ave",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203379",
            "country_code": "US",
            "telephone_number": "559-431-6700",
            "fax_number": "559-431-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LEE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.