Jerry Lee, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2646 Issued in AL

Practice address

1140 Eagletree Lane SE
Building/Suite #
Huntsville, AL 35801-3580

Phone

(256) 883-0636

Fax

(256) 883-0635

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Focus Physiotherapy, LLC

  • Physical Therapy Clinic/Center
  • Huntsville, AL
  • NPI 1659751030
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1467062042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EAGLETREE LANE SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-883-0636",
            "fax_number": "256-883-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EAGLETREE LANE SE",
            "address_2": "BUILDING/SUITE #",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013580",
            "telephone_number": "256-883-0636",
            "fax_number": "256-883-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7061 Highway 72 W Ste B",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358062959",
            "country_code": "US",
            "telephone_number": "256-261-3531",
            "fax_number": "256-715-7889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JERRY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Ivy Lee, M.D.
• Courtney Lee
• Danny Kim Lee, MD
• David A. Lee, O.D.
• Hunter Patrick Lee, DC
• Junsup Lee, DDS
• Kevin Sunwook Lee, PA-C
• Lyeshia Lee
• Maria A.K. Lee, M.D.
• NA'Tavia Lee

• Occupational Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.