Organization Active NPI

Lee Physical Therapy LLC

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1750907903
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEE PHYSICAL THERAPY LLC
Practice address
1512 Technology Dr Ste 102
Chesapeake, VA 23320-5979
Phone
(757) 227-7600
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edwin Bryce Lee III, DPTNPI 1003472184
Title
Owner
Phone
(757) 227-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1512 Technology Dr Ste 102
Chesapeake, VA 23320-5979

Mailing address

322 Preservation Reach
Chesapeake, VA 23320-6997

National Provider Directory

National Provider Directory

Locations

1512 Technology Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 227-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1750907903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 PRESERVATION REACH",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 TECHNOLOGY DR STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205979",
            "telephone_number": "757-227-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-227-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.