NPIMap

Individual provider Active NPI

Elaine Marcel Duet-Lee, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1457568073
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1058048 Issued in TX
Practice address
7333 Barlite Blvd
Suite 250
San Antonio, TX 78224-1320
Phone
(210) 924-3040
Fax
(210) 924-3889
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1058048 TX Primary
Contractor 171W00000X 1058048 TX

Addresses

Primary practice location

7333 Barlite Blvd
Suite 250
San Antonio, TX 78224-1320

Mailing address

7333 Barlite Blvd
Suite 250
San Antonio, TX 78224-1320
Phone (210) 924-3040

Other identifiers 3

IdentifierTypeStateIssuer
819T65OtherTXBLUE CROSS BLUE SHIELD
0370272-02MedicaidTX
1058048OtherTXPHYSICAL THERAPIST

Other names 1

  • Miss Elaine Marcel Duet-Lee Former name

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

LicenseStateTypeSpecialty
1058048TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Facilities Development Past Accepting new patients
US Health Facilities Development Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1457568073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-924-3040",
            "fax_number": "210-924-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241320",
            "telephone_number": "210-924-3040",
            "fax_number": "210-924-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUET-LEE",
        "first_name": "ELAINE",
        "middle_name": "MARCEL",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1058048",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "1058048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "819T65",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0370272-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1058048",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "DUET-LEE",
            "middle_name": "MARCEL",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.