Individual provider Active NPI

Lee Haskin, DPT

  • Physical Therapist
  • Paso Robles, CA
National Provider Identifier
1548201023
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29969 Issued in CA
Practice address
1421 Riverside Ave
Paso Robles, CA 93446-1730
Phone
(805) 239-1202
Fax
(805) 239-1222
NPI assigned
Jun 8, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 PT29969 CA Primary

Addresses

Primary practice location

1421 Riverside Ave
Paso Robles, CA 93446-1730

Mailing address

1421 Riverside Ave
Paso Robles, CA 93446-1730
Phone (805) 239-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000365 CA Practitioner - Physical Therapist in Private Practice 6901864644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Physical Therapy IncGroup PAC ID 1052464625, 3 clinicians

Practice addresses (Care Compare)

1421 Riverside Ave
Paso Robles, CA 93446-1730
Phone (805) 239-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29969CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Physical Therapy, Inc CurrentSince Nov 24, 2019 Accepting new patients
Central Coast Physical Therapy, Inc. Physical Therapist CurrentSince Apr 29, 2009 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
Thomas D. Ferro M.D. a Medical Corporation PastSince Jan 1, 2006 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
Central Coast Physical Therapy, Inc. Past Accepting new patients

Locations

3218 El Camino Real
Atascadero, CA 93422
Phone (805) 462-1110

7380 Morro Rd
Atascadero, CA 93422
Phone (805) 462-1110

4070 West St
Cambria, CA 93428
Phone (805) 440-3225

1421 Riverside Ave
Paso Robles, CA 93446
Phone (805) 239-1202

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1548201023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 RIVERSIDE AVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461730",
            "telephone_number": "805-239-1202",
            "fax_number": "805-239-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 RIVERSIDE AVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934461730",
            "telephone_number": "805-239-1202",
            "fax_number": "805-239-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKIN",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.