Individual provider Active NPI

Matthew J Lee, PT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1649359613
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003293 Issued in KY
Practice address
1207 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-8519
Fax
(859) 258-8592
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003293 KY Primary

Addresses

Primary practice location

1207 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

102 Williams Rd
Nicholasville, KY 40356-1917
Phone (859) 881-0333

Other practice location 2

100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-5073

Other identifiers 1

IdentifierTypeStateIssuer
7100895260MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000491 KY Practitioner - Physical Therapist in Private Practice 9032218680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003293KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Aug 2, 2021 Accepting new patients
New Lexington Clinic PSC CurrentSince May 15, 2023 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Aug 2, 2021 Accepting new patients
New Lexington Clinic, PSC CurrentSince May 15, 2023 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

708 Westport Rd
Ste 202
Elizabethtown, KY 42701
Phone (270) 765-4263

1060 Chinoe Rd
Ste 116
Lexington, KY 40502
Phone (259) 881-0333

100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300

1207 S Broadway
Lexington, KY 40504
Phone (859) 258-8519

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

102 Williams Rd
Nicholasville, KY 40356
Phone (859) 867-0111

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

200 Rice St
#1
Wilmore, KY 40390
Phone (859) 585-9355

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1649359613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-8519",
            "fax_number": "859-258-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403561917",
            "country_code": "US",
            "telephone_number": "859-881-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Eagle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091805",
            "country_code": "US",
            "telephone_number": "859-258-5073",
            "fax_number": "859-258-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100895260",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.