Active NPI
Carolyn Lee, MSPT
- Orthopedic Physical Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT25077
- Practice address
- 2191 Market Street
Suite C
San Francisco, CA 94114-1399 - Phone
- (415) 861-1856
- Fax
- (415) 839-8294
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25077 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT25077 | CA | Primary |
Addresses
Primary practice location
2191 Market Street
Suite C
San Francisco, CA 94114-1399
Mailing address
2191 Market Street
Suite C
San Francisco, CA 94114-1399
Phone (415) 861-1856
Other names 1
- Carrie Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3825 El Camino Real
Palo Alto, CA 94306-3324
Phone (650) 565-8090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25077 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Physical Therapy Inc | Current | Accepting new patients | |
| Marin Sport and Spine Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Jay West Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Montclair Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860
100 Bush St
Ste 800
San Francisco, CA 94104
Phone (415) 318-8138
2191 Market St
Ste C
San Francisco, CA 94114
Phone (415) 861-1856
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Physical Therapy Clinic/Center
- Oakland, CA
- NPI 1629651237
Physical Therapist
-
- Orthopedic Physical Therapist
- Kentfield, CA
- NPI 1487800942
-
dba Active Method Physical Therapy
- Physical Therapist
- Oakland, CA
- NPI 1699791897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1700805462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 MARKET STREET",
"address_2": "SUITE C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141399",
"telephone_number": "415-861-1856",
"fax_number": "415-839-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 MARKET STREET",
"address_2": "SUITE C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141399",
"telephone_number": "415-861-1856",
"fax_number": "415-839-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CAROLYN",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25077",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT25077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "LEE",
"credential": "MSPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.