Individual provider Active NPI

Jessica Lee, PT, DPT

  • Physical Therapist
  • League City, TX
National Provider Identifier
1477281046
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1366085 Issued in TX
Practice address
1241 Butler Rd
League City, TX 77573-4873
Phone
(281) 938-1491
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1366085 TX Primary

Addresses

Primary practice location

1241 Butler Rd
League City, TX 77573-4873

Mailing address

3301 Gulf Fwy Apt 10206
Texas City, TX 77568-1989
Phone (817) 929-5112

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1366085TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiring Kids Therapy, LLC CurrentSince Aug 14, 2022 Accepting new patients
Therapedia, LLC Past Accepting new patients

Locations

1241 Butler Rd
League City, TX 77573
Phone (281) 924-2499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1477281046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 GULF FWY APT 10206",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775681989",
            "telephone_number": "817-929-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BUTLER RD",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734873",
            "telephone_number": "281-938-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1366085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.