Active NPI
Thomas Lee
- Physical Therapist
- Gahanna, OH
National Provider Identifier
1710445895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018425
- Practice address
- 670 Morrison Rd Ste 205
Gahanna, OH 43230-5324 - Phone
- (614) 485-2347
- NPI assigned
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3917 | NE | |
| Physical Therapist | 225100000X | 2242 | ND | |
| Physical Therapist | 225100000X | PT018425 | OH | Primary |
Addresses
Primary practice location
670 Morrison Rd Ste 205
Gahanna, OH 43230-5324
Mailing address
8622 CR 95
Findlay, OH 45840
Phone (419) 306-9120
Other practice location 1
2305 S 10th St
Omaha, NE 68108-1108
Phone (402) 345-5683
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3917 | NE | MD | Mental Health Counselor |
| 2242 | ND | MD | Dentist |
| PT018425 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1710445895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8622 CR 95",
"city": "FINDLAY",
"state": "OH",
"postal_code": "45840",
"telephone_number": "419-306-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 MORRISON RD STE 205",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432305324",
"telephone_number": "614-485-2347"
}
],
"practiceLocations": [
{
"address_1": "2305 S 10th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681081108",
"country_code": "US",
"telephone_number": "402-345-5683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-07",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3917",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2242",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.