Active NPI
Christopher Lee
- Physical Therapy Assistant
- San Diego, CA
National Provider Identifier
1609232727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT11040
- Practice address
- 3930 4TH Ave
San Diego, CA 92103-3119 - Phone
- (619) 200-2015
- NPI assigned
- Jan 5, 2016
- Sex
- Male
- 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 | AT11040 | CA | Primary |
Addresses
Primary practice location
3930 4TH Ave
San Diego, CA 92103-3119
Mailing address
16011 Butterfield Ranch Rd
Unit 638
Chino Hills, CA 91709-7455
Phone (408) 836-6004
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 |
|---|---|---|---|
| AT11040 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1609232727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16011 BUTTERFIELD RANCH RD",
"address_2": "UNIT 638",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917097455",
"telephone_number": "408-836-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033119",
"telephone_number": "619-200-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT11040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.