Individual provider Active NPI

Matthew Wesley Lee, DPT, PT, C-RDN1

  • Physical Therapist
  • Texas City, TX
National Provider Identifier
1730738576
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1322433 Issued in TX
Practice address
7111 Medical Center Dr Ste 111
Texas City, TX 77591-2667
Phone
(409) 935-2840
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 1322433 TX Primary

Addresses

Primary practice location

7111 Medical Center Dr Ste 111
Texas City, TX 77591-2667

Mailing address

3433 Cove View Blvd Apt 3218
Galveston, TX 77554-8185
Phone (936) 522-8251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115000546 TX Practitioner - Physical Therapist in Private Practice 0648605964 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1322433TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 17, 2024 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 4, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 17, 2024 Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1730738576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 COVE VIEW BLVD APT 3218",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775548185",
            "telephone_number": "936-522-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 MEDICAL CENTER DR STE 111",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912667",
            "telephone_number": "409-935-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MATTHEW",
        "middle_name": "WESLEY",
        "credential": "DPT, PT, C-RDN1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.