Active NPI
Robert Lee, LOT
- Occupational Therapist
- Tyler, TX
National Provider Identifier
1750625778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105949
- Practice address
- 401 E Front St
Ste. 123
Tyler, TX 75702-8213 - Phone
- (361) 531-2581
- Fax
- (903) 531-2451
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105949 | TX | Primary |
Addresses
Primary practice location
401 E Front St
Ste. 123
Tyler, TX 75702-8213
Mailing address
508 W Twin Creeks TRL
Troup, TX 75789-6703
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 |
|---|---|---|---|
| 105949 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1750625778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 W TWIN CREEKS TRL",
"city": "TROUP",
"state": "TX",
"postal_code": "757896703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E FRONT ST",
"address_2": "STE. 123",
"city": "TYLER",
"state": "TX",
"postal_code": "757028213",
"telephone_number": "361-531-2581",
"fax_number": "903-531-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROBERT",
"credential": "LOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.