Individual provider Active NPI

Robert M Lee, MPT

  • Physical Therapist
  • Laguna Woods, CA
National Provider Identifier
1700022720
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35334 Issued in CA
Practice address
24962 Calle Aragon
Laguna Woods, CA 92637
Phone
(949) 587-9000
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 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 PT35334 CA Primary

Addresses

Primary practice location

24962 Calle Aragon
Laguna Woods, CA 92637

Mailing address

21030 Pacific City Cir
Unit 3212
Huntington Beach, CA 92648-8524
Phone (415) 269-4284

Other practice location 1

24962 Calle Aragon
Laguna Woods, CA 92637
Phone (949) 587-9000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
35334CAMDOptometrist
PT35334CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1700022720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21030 PACIFIC CITY CIR",
            "address_2": "UNIT 3212",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926488524",
            "telephone_number": "415-269-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24962 CALLE ARAGON",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "92637",
            "telephone_number": "949-587-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24962 Calle Aragon",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "92637",
            "country_code": "US",
            "telephone_number": "949-587-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.