Active NPI
Scott Ken Lee, PT, DPT, OCS, ATC
- Orthopedic Physical Therapist
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT297161
- Practice address
- 415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816 - Phone
- (626) 710-0660
- NPI assigned
- Apr 22, 2015
- Last updated
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Orthopedic Physical Therapist | 2251X0800X | PT297161 | CA | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816
Mailing address
215 La Paloma Ave
Alhambra, CA 91801-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297161 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSP Physical Therapy Inc | Orthopedic | Current | Accepting new patients |
| Rehab Specialists, Inc | Orthopedic | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
| California State University Long Beach | Orthopedic | Current | Accepting new patients |
| Adi Rehab, Incorporated | Orthopedic | Past | Accepting new patients |
Locations
415 N Crescent Dr
Ste 130
Beverly Hills, CA 90210
Phone (310) 273-0677
500 E Olive Ave
Ste 325
Burbank, CA 91501
Phone (818) 955-5786
1250 N Bellflower Blvd
Rm 105
Long Beach, CA 90840
Phone (562) 985-8286
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
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.
-
dba PT@TheBeach
- Physical Therapist
- Long Beach, CA
- NPI 1861824518
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1447647912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 LA PALOMA AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR STE 130",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106816",
"telephone_number": "626-710-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SCOTT",
"middle_name": "KEN",
"credential": "PT, DPT, OCS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT297161",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.