Active NPI
Amy Elizabeth Lee, MPT
- Physical Therapist
- Chickasha, OK
National Provider Identifier
1609079383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4022
- Practice address
- 304 S 29TH St
Chickasha, OK 73018-2501 - Phone
- (405) 224-3100
- Fax
- (405) 224-3102
- NPI assigned
- Jun 8, 2007
- 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 Therapist | 225100000X | PT4022 | OK | Primary |
Addresses
Primary practice location
304 S 29TH St
Chickasha, OK 73018-2501
Mailing address
2408 Old Creek Rd
Edmond, OK 73034-1537
Phone (405) 822-9666
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4022 | OK | MD | Chiropractor |
| PT4022 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1609079383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 OLD CREEK RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730341537",
"telephone_number": "405-822-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S 29TH ST",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182501",
"telephone_number": "405-224-3100",
"fax_number": "405-224-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "PT4022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.