Individual provider Active NPI

Janet Elaine Lee, PT

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1669457453
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29745 Issued in CA
Practice address
2067 W Vista Way Ste 185
Vista, CA 92083-6033
Phone
(760) 631-5888
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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 PT 29745 CA Primary

Addresses

Primary practice location

2067 W Vista Way Ste 185
Vista, CA 92083-6033

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750

Other practice location 1

10225 Austin Dr
#204
Spring Valley, CA 91978-1500
Phone (619) 670-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329001388 CA Practitioner - Physical Therapist in Private Practice 3577519826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Michigan Medical School, 2000
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

850 Main St
Suite 105
Ramona, CA 92065-1968
Phone (760) 789-1424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29745CAMDClinical Social Worker
PT 29745CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince May 13, 2019 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Current Accepting new patients
Barbara Jean Boutelle/Carlsbad Physical Therapy Physical Therapist CurrentSince May 13, 2019 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Feb 16, 2005 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Past Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655

467 College Blvd
Ste 6
Oceanside, CA 92057
Phone (760) 295-5156

850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424

9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131
Phone (858) 693-0436

9888 Carmel Mountain Rd
Ste J
San Diego, CA 92129
Phone (858) 207-4481

935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440

9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888

Organizations & group practices 7

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1669457453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY STE 185",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836033",
            "telephone_number": "760-631-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10225 Austin Dr",
            "address_2": "#204",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919781500",
            "country_code": "US",
            "telephone_number": "619-670-4567",
            "fax_number": "619-670-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.