Heenam Leem, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT309917 Issued in CA

Practice address

9900 Indiana Ave Ste 1
Riverside, CA 92503-5498

Phone

(951) 376-1120

Fax

(951) 376-1182

NPI assigned

May 27, 2026

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Fairbanks & Power Physical Therapy Corp.

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  NPD

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1649101676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 INDIANA AVE STE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035498",
            "telephone_number": "951-376-1120",
            "fax_number": "951-376-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 INDIANA AVE STE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035498",
            "telephone_number": "951-376-1120",
            "fax_number": "951-376-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEM",
        "first_name": "HEENAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT309917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Lee, M.D.
• Wilson Lee, M.D.
• Yoong Sup Lee, ACUPUNCTURE LAC
• Debra Leeb, MSW
• Dawn Leedy
• Nicole Leffler, BCBA
• Michelle L Leftridge
• Legacy Foundation Corporation
• Legacy Small Family Home
• Brianna Lynn Legros Thompson, DPT

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.