Individual provider Active NPI

Robbin J Lee, PT

  • Physical Therapist
  • Flowood, MS
National Provider Identifier
1679877336
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1457 Issued in MS
Practice address
4301 Lakeland Dr
Flowood, MS 39232-8947
Phone
(601) 939-7010
Fax
(601) 939-3332
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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 PT1457 MS Primary

Addresses

Primary practice location

4301 Lakeland Dr
Flowood, MS 39232-8947

Mailing address

965 Ridge Lake Blvd Ste 105
Memphis, TN 38120-9446
Phone (901) 227-3255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205002083 MS Practitioner - Physical Therapist in Private Practice 5496059768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation of Central Mississippi Inc 274 clinicians

Practice addresses (Care Compare)

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

151 E Metro Dr
Flowood, MS 39232-4405

151 E Metro Pkwy
Suite 201
Flowood, MS 39232-4405
Phone (601) 973-1680

401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. Physical Therapist Current Accepting new patients

Locations

108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018

4301 Lakeland Dr
Flowood, MS 39232
Phone (601) 939-7010

151 E Metro Dr
Ste 202
Flowood, MS 39232
Phone (601) 973-1507

151 E Metro Dr
Ste 106
Flowood, MS 39232
Phone (601) 664-7191

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280

1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

746 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-4032

Organizations & group practices 1

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1679877336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "telephone_number": "901-227-3255",
            "fax_number": "901-227-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328947",
            "telephone_number": "601-939-7010",
            "fax_number": "601-939-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBBIN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.