Active NPI
Alice Lee
- Occupational Therapist
- Anaheim, CA
National Provider Identifier
1407508542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23212
- Practice address
- 141 S Knott Ave
Anaheim, CA 92804-1406 - Phone
- (714) 821-7310
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23212 | CA | Primary |
Addresses
Primary practice location
141 S Knott Ave
Anaheim, CA 92804-1406
Mailing address
7799 Valley View St Apt G209
La Palma, CA 90623-1889
Phone (562) 533-0424
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 |
|---|---|---|---|
| 23212 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physical Therapy and Wellness | Current | Accepting new patients |
Locations
12131 Brookhurst St
Ste B
Garden Grove, CA 92840
Phone (714) 360-8828
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Garden Grove, CA
- NPI 1609523356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1407508542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7799 VALLEY VIEW ST APT G209",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231889",
"telephone_number": "562-533-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S KNOTT AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041406",
"telephone_number": "714-821-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.