Active NPI
Britney Lee, PTA
- Physical Therapy Assistant
- Georgetown, TX
National Provider Identifier
1720503857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2131860
- Practice address
- 4402 Williams Dr Ste 115
Georgetown, TX 78628-1388 - Phone
- (512) 256-7627
- NPI assigned
- Aug 10, 2017
- Last updated
- Aug 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2131860 | TX | Primary |
Addresses
Primary practice location
4402 Williams Dr Ste 115
Georgetown, TX 78628-1388
Mailing address
117 Ten Oaks Dr
Georgetown, TX 78633-5604
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2131860 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline Kozak | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Medicine Clinic/Center
- Georgetown, TX
- NPI 1699482448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1720503857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TEN OAKS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786335604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 WILLIAMS DR STE 115",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281388",
"telephone_number": "512-256-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRITNEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2131860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Richard S. Lawlis, M.D.
- Anthony J Lawrence
- LCS Georgetown Propco LLC (The Delaney at Georgetown Village)
- Kim Le, PHARM D.
- Leander Oral Surgery and Dental Implants (Georgetown Center of Oral and Maxillofacial Surgery)
- Caitlin Lee, M.ED.
- Jacqueline Lee
- Daniel James Leeman, M.D.
- Legend Dental-Georgetown (Legend Dental & Orthodontics)
- Jeremy D Leland, DDS MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.