Individual provider Active NPI

Jona Lee, PT

  • Physical Therapist
  • Zion, IL
National Provider Identifier
1558025841
Registry record updated Oct 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301133 Issued in CA
Practice address
1810 Midday Dr
Zion, IL 60099-9252
Phone
(224) 645-0223
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2021

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 301133 CA Primary

Addresses

Primary practice location

1810 Midday Dr
Zion, IL 60099-9252

Mailing address

1810 Midday Dr
Zion, IL 60099-9252
Phone (224) 645-0223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001671 CA Practitioner - Physical Therapist in Private Practice 1153718234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Golden Gate Physical TherapyGroup PAC ID 2860441581, 7 clinicians

Practice addresses (Care Compare)

1801 Bush St
Suite 200
San Francisco, CA 94109-5296
Phone (415) 776-1646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301133CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Physical Therapy Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients

Locations

1801 Bush St
Ste 200
San Francisco, CA 94109
Phone (415) 776-1646

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1558025841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MIDDAY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600999252",
            "telephone_number": "224-645-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MIDDAY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600999252",
            "telephone_number": "224-645-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.