Eric Christopher Lee, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

300420 Issued in CA

Practice address

822 S Robertson Blvd Ste 104
Los Angeles, CA 90035-1630

Phone

(310) 404-8626

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerline Physical TherapyGroup PAC ID 6406037134, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centerline Physical Therapy

  • Physical Therapy Clinic/Center
  • North Miami, FL
  • NPI 1740517739

  Sports

  Medicare reassignment Care Compare group NPD
• Body Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1912593237

  Sports

  Medicare reassignment NPD
• Cogo Physio LLC

  dba Integrated Physical Therapy & Wellness

  • Sports Physical Therapist
  • Miami, FL
  • NPI 1225856420
  Medicare reassignment NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1619548179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-404-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-404-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "300420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Lee
• Elizabeth Lisa Lee, DO
• Elizabeth Soobin Lee
• Emily Lee, DDS
• Eric Anthony Lee, MD
• Eric Jaewon Lee, MD
• Eric Kyle Lee, MD
• Eric Yu-Hsien Lee, DPM
• Erica Lee, PHARMD
• Erica Sung Lee, M.S., CCC-SLP, CBIS

• Sports Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.