Individual provider Active NPI

David Lee, P.T.

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1558794958
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24612 Issued in MD
Practice address
15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217
Phone
(301) 948-4395
Fax
(301) 407-1860
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 24612 MD Primary

Addresses

Primary practice location

15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217

Mailing address

15201 Shady Grove Rd Ste 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Other practice location 1

12800 Middlebrook Rd Ste 100
Germantown, MD 20874-5204
Phone (301) 987-0999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140310001159 DC Practitioner - Physical Therapist in Private Practice 8123258324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Physical Therapy IncGroup PAC ID 2567750854, 7 clinicians

Practice addresses (Care Compare)

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
82.63
Improvement activities
40
Cost
80.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physical Therapy, Inc. Physical Therapist CurrentSince Oct 3, 2016 Accepting new patients
Seneca Physical Therapy Inc Physical Therapist CurrentSince Dec 6, 2022 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

12800 Middlebrook Rd
Ste 100
Germantown, MD 20874
Phone (301) 235-3031

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

Organizations & group practices 3

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1558794958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Middlebrook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745204",
            "country_code": "US",
            "telephone_number": "301-987-0999",
            "fax_number": "301-987-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.