Active NPI
Ezekiel Yeong Lee, DPT
- Physical Therapist
- Federal Way, WA
National Provider Identifier
1427333905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60230133
- Practice address
- 33501 1St Way S
Federal Way, WA 98003-6208 - Phone
- (253) 874-1647
- Fax
- (253) 874-1634
- NPI assigned
- Oct 17, 2011
- Last updated
- Apr 10, 2012
- 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 | 60230133 | WA | Primary |
Addresses
Primary practice location
33501 1St Way S
Federal Way, WA 98003-6208
Mailing address
33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01009291 | Other | WA | RRMC |
| 0285444 | Other | WA | LABOR AND INDUSTRY |
| 1427333905 | Medicaid | WA |
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 |
|---|---|---|---|
| 60230133 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1427333905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-838-2400",
"fax_number": "253-874-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-874-1647",
"fax_number": "253-874-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EZEKIEL",
"middle_name": "YEONG",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60230133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P01009291",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "0285444",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427333905",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.