Lee Wellness and Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEE WELLNESS AND REHAB LLC

Practice address

4048 Evans Ave Ste 210
Fort Myers, FL 33901-9385

Phone

(239) 440-1344

Fax

(561) 392-3793

NPI assigned

Oct 31, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Malek Khalil

Title

Ceo

Phone

(239) 440-1344

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1700338274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019385",
            "telephone_number": "239-440-1344",
            "fax_number": "561-392-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 EVANS AVE STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019385",
            "telephone_number": "239-440-1344",
            "fax_number": "561-392-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE WELLNESS AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "MALEK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-440-1344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION NUMBER",
            "identifier": "L16000084567",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Memorial Health System (Gulf Coast Medical Center)
• Lee Memorial Health System
• Lee Memorial Home Health Inc (Lee Memorial Home Health)
• Lee Senior Services, LLC (Home Health by Cypress at Home)
• Lee Senior Services, LLC (Concierge Medical Care by Cypress at Home)
• Alexandra Cristina Lee, LMHC
• Audra Lee, M.S.
• Carl David Lee, LMFT
• Connie C Lee, M,D.,
• David E. Lee, PA-C

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.