Active NPI
Philip C. Lee, PT, DPT, OCS
- Physical Therapist
- Chicago, IL
National Provider Identifier
1427280924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017153
- Practice address
- 2250 W Belmont Ave
Unit 1W
Chicago, IL 60618-6561 - Phone
- (773) 883-2337
- Fax
- (773) 883-2336
- NPI assigned
- Aug 17, 2009
- Last updated
- May 8, 2013
- 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 | 070017153 | IL | Primary |
Addresses
Primary practice location
2250 W Belmont Ave
Unit 1W
Chicago, IL 60618-6561
Mailing address
2250 W Belmont Ave
Unit 1W
Chicago, IL 60618-6561
Phone (773) 883-2337
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 |
|---|---|---|---|
| 070017153 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Orthopedic Rehabilitation Institute,Inc | Physical Therapist | Past | Accepting new patients |
| El Rey Corporation | Physical Therapist | Past | Accepting new patients |
| Journey Physical Therapy | Physical Therapist | Past | Accepting new patients |
| South Suburban Open MRI of Orland, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Orthopedic Physical Therapist
- Chicago, IL
- NPI 1295071090
-
- Physical Therapist
- Chicago, IL
- NPI 1053331447
-
- Orthopedic Physical Therapist
- Chicago, IL
- NPI 1548716483
-
- Physical Therapist
- Niles, IL
- NPI 1881007391
-
- Radiology Clinic/Center
- Orland Hills, IL
- NPI 1881639425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1427280924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 W BELMONT AVE",
"address_2": "UNIT 1W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186561",
"telephone_number": "773-883-2337",
"fax_number": "773-883-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 W BELMONT AVE",
"address_2": "UNIT 1W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186561",
"telephone_number": "773-883-2337",
"fax_number": "773-883-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PHILIP",
"middle_name": "C.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-17",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.