Active NPI
Drew Matthew Lemay, PT
- Physical Medicine & Rehabilitation Physician
- San Clemente, CA
National Provider Identifier
1477154730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 296357
- Practice address
- 2501 S El Camino Real
San Clemente, CA 92672-3350 - Phone
- (219) 229-9379
- NPI assigned
- Nov 3, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 296357 | CA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | PTL16026 | CO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT-4913 | HI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1308216 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT.PT.61049572 | WA |
Addresses
Primary practice location
2501 S El Camino Real
San Clemente, CA 92672-3350
Mailing address
2501 S El Camino Real
Apartment 205
San Clemente, CA 92672
Phone (219) 229-9379
Other practice location 1
2936 Sheridan Blvd
Denver, CO 80214-3018
Phone (219) 229-9379
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 |
|---|---|---|---|
| 296357 | CA | MD | Physical Medicine & Rehabilitation Physician |
| PTL16026 | CO | MD | Physical Medicine & Rehabilitation Physician |
| PT-4913 | HI | MD | Physical Medicine & Rehabilitation Physician |
| 1308216 | TX | MD | Physical Medicine & Rehabilitation Physician |
| PT.PT.61049572 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodrigo D. Rodriguez | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1740648187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1477154730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 S EL CAMINO REAL",
"address_2": "APARTMENT 205",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "92672",
"telephone_number": "219-229-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723350",
"telephone_number": "219-229-9379"
}
],
"practiceLocations": [
{
"address_1": "2936 Sheridan Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802143018",
"country_code": "US",
"telephone_number": "219-229-9379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMAY",
"first_name": "DREW",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "296357",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "PTL16026",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "HI",
"license": "PT-4913",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1308216",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "PT.PT.61049572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.