James Richard Lee

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 1316 Issued in AR

Practice address

2113 Watts Rd.
Benton, AR 72015

Phone

(501) 778-4960

Fax

(501) 778-4968

NPI assigned

Jul 27, 2006

Last updated

Oct 17, 2008By 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 AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Active Rehab, IncGroup PAC ID 2668482340, 15 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.

• Pro Active Rehab, Inc

  • Physical Therapist
  • Benton, AR
  • NPI 1215021159
  Medicare reassignment Care Compare group NPD
• Benton Physical Therapy

  • Physical Therapist
  • Benton, AR
  • NPI 1437243359
  NPD Authorized official
• Pro-Active Rehab Inc.

  dba Malvern Physical Therapy & Wellness

  • Physical Therapist
  • Malvern, AR
  • NPI 1285878991
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1629082805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E GREENBRIER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152638",
            "telephone_number": "501-778-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 WATTS RD.",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-778-4960",
            "fax_number": "501-778-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Nicole Ledbetter, APRN
• Shannon Dawn Ledbetter, RD
• Cody Ledoux, LPC
• Charie Lee
• Darlene Lee, LMSW
• Jennifer Lee
• Kendra Michele Lee, BA
• Virginia Branam Lee, RN
• William Lee
• Michael Lenehan, M.S., CCC-SLP, BCBA

• Physical Therapist in Benton, AR
• Providers in Benton, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.