Active NPI
Kendra Lee
- Physical Therapy Assistant
- Greenville, SC
National Provider Identifier
1477933216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3252
- Practice address
- 11 E Augusta PL
Greenville, SC 29605-1755 - Phone
- (864) 370-9030
- NPI assigned
- Jun 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3252 | SC | Primary |
Addresses
Primary practice location
11 E Augusta PL
Greenville, SC 29605-1755
Mailing address
9 Savannah St
Greenville, SC 29617-2830
Phone (864) 901-5267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3252 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433635200000",
"number": "1477933216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SAVANNAH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296172830",
"telephone_number": "864-901-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E AUGUSTA PL",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296051755",
"telephone_number": "864-370-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-07",
"last_updated": "2015-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "3252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.