Active NPI
Anne Lee, LMT
- Mechanotherapist
- O Fallon, MO
National Provider Identifier
1679720874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2001008789
- Practice address
- 765 W Terra LN
O Fallon, MO 63366-2432 - Phone
- (636) 262-3036
- Fax
- (636) 379-9023
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 2001008789 | MO | Primary |
Addresses
Primary practice location
765 W Terra LN
O Fallon, MO 63366-2432
Mailing address
765 W Terra LN
O Fallon, MO 63366-2432
Phone (636) 262-3036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679720874 | Other | MO | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Anne Lee
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 |
|---|---|---|---|
| 2001008789 | MO | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1679720874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 W TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662432",
"telephone_number": "636-262-3036",
"fax_number": "636-379-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 W TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662432",
"telephone_number": "636-262-3036",
"fax_number": "636-379-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MO",
"license": "2001008789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1679720874",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "LEE",
"prefix": "MS.",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.