Individual provider Active NPI

Janet Wah Lee, PHYSICAL THERAPIST

  • Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1760467617
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11659 Issued in CA
Practice address
68 Willow Rd
Menlo Park, CA 94025-3653
Phone
(877) 390-6659
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 PT11659 CA Primary

Addresses

Primary practice location

68 Willow Rd
Menlo Park, CA 94025-3653

Mailing address

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659

Other practice location 1

2039 Forest Ave
#104
San Jose, CA 95128-4817
Phone (408) 279-8501

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

LicenseStateTypeSpecialty
PT11659CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Your Home - OT, PT, St Physical Therapist CurrentSince Jul 4, 2019 Accepting new patients
Los Gatos Orthopedic Sports Therapy, Inc. Physical Therapist PastSince Jul 28, 2008 Accepting new patients
Los Gatos Hand Therapy, LLC PastSince Jun 6, 2021 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1760467617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253653",
            "telephone_number": "877-390-6659",
            "fax_number": "916-913-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253653",
            "telephone_number": "877-390-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Forest Ave",
            "address_2": "#104",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284817",
            "country_code": "US",
            "telephone_number": "408-279-8501",
            "fax_number": "408-279-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANET",
        "middle_name": "WAH",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.