Individual provider Active NPI

Shanan Elizabeth Lee, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1609353879
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19821 Issued in CO
Practice address
1230 Tenderfoot Hill Rd Ste 155
Colorado Springs, CO 80906-7346
Phone
(719) 527-3383
Fax
(719) 527-2688
NPI assigned
Jul 20, 2018
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20991 CO
Physical Therapist 225100000X 19821 CO Primary

Addresses

Primary practice location

1230 Tenderfoot Hill Rd Ste 155
Colorado Springs, CO 80906-7346

Mailing address

1230 Tenderfoot Hill Rd Ste 155
Colorado Springs, CO 80906-7346
Phone (719) 527-3383

Other practice location 1

5962 Stetson Hills Blvd
Colorado Springs, CO 80923-3579
Phone (719) 596-8700

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

LicenseStateTypeSpecialty
20991COMDInternal Medicine Physician
19821COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince May 16, 2024 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince May 16, 2024 Accepting new patients
Conrad Chiropractic & Wellness P.C. PastSince Aug 6, 2012 Accepting new patients
Conrad Chiropractic & Wellness LLC PastSince Sep 18, 2019 Accepting new patients

Locations

1230 Tenderfoot Hill Rd
Ste 155
Colorado Springs, CO 80906
Phone (719) 527-3383

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

Organizations & group practices 4

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1609353879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 TENDERFOOT HILL RD STE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067346",
            "telephone_number": "719-527-3383",
            "fax_number": "719-527-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 TENDERFOOT HILL RD STE 155",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067346",
            "telephone_number": "719-527-3383",
            "fax_number": "719-527-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5962 Stetson Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233579",
            "country_code": "US",
            "telephone_number": "719-596-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHANAN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "20991",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.