Active NPI
Lee Ann Chamlee, PTA
- Physical Therapy Assistant
- Rome, GA
National Provider Identifier
1679817175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA001933
- Practice address
- 809 S Broad St SW
Rome, GA 30161-4654 - Phone
- (706) 235-1337
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA001933 | GA | Primary |
Addresses
Primary practice location
809 S Broad St SW
Rome, GA 30161-4654
Mailing address
69 Willow St
Summerville, GA 30747-5132
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 |
|---|---|---|---|
| PTA001933 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1679817175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WILLOW ST",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307475132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 S BROAD ST SW",
"city": "ROME",
"state": "GA",
"postal_code": "301614654",
"telephone_number": "706-235-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMLEE",
"first_name": "LEE",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA001933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
- Center for Neurocognitive Assessment and Rehabilitation, PC
- Billy George Chacko, MD
- Samantha Taylor Chafee
- Latalia Y Chambers, CNA (CN0028835244)
- Weston Scott Chambers, MD
- Garvin Lee Chandler, DO
- Jacob Nelson Chandler, MD
- Allison Nichole Channell, MSN, APRN, FNP-BC
- Charlene M Seal, LCSW, LLC
- Hannah Chastain, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.