Active NPI
Lee Anton Priebe, PT
- Physical Therapist
- Ventura, CA
National Provider Identifier
1639606189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19895
- Practice address
- 117 S Emma Ave
Ventura, CA 93003-3210 - Phone
- (805) 901-0459
- Fax
- (805) 901-0459
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 19895 | CA | Primary |
Addresses
Primary practice location
117 S Emma Ave
Ventura, CA 93003-3210
Mailing address
117 S Emma Ave
Ventura, CA 93003-3210
Phone (805) 901-0459
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 |
|---|---|---|---|
| 19895 | CA | MD | Critical Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1639606189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S EMMA AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033210",
"telephone_number": "805-901-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S EMMA AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033210",
"telephone_number": "805-901-0459",
"fax_number": "805-901-0459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEBE",
"first_name": "LEE",
"middle_name": "ANTON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "19895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Stacey Pribanic, L.AC.
- Danielle Kathleen Price, LMFT
- Danielle Nicole Lippert Price, PT
- John Prichard, M.D.
- John Prichard, M.D.
- Shani Prieto, RN
- Prima Materia Marriage and Family Therapy a Professional Corporation
- Primary Medical Group of Ventura County Inc
- Primary Medical Group of Ventura County Inc
- Tom Prinz, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.