Individual provider Active NPI

Christina Lynn Lee, MSPT, OCS

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1790875235
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18461 Issued in CA
Practice address
1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone
(714) 835-6638
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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 PT18461 CA Primary

Addresses

Primary practice location

1910 Old Tustin Ave
Santa Ana, CA 92705-7811

Mailing address

4262 Bridgeway St
Irvine, CA 92604-2247
Phone (949) 857-0759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427001058 CA Practitioner - Physical Therapist in Private Practice 7012956246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis and Watson Physical Therapy Inc.Group PAC ID 7810881554, 4 clinicians

Practice addresses (Care Compare)

1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone (714) 835-6638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT18461CAMDPhysical Therapist
18461CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davis and Watson Physical Therapy Inc. Physical Therapist CurrentSince Apr 4, 2005 Accepting new patients

Locations

1910 Old Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-6638

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1790875235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 BRIDGEWAY ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042247",
            "telephone_number": "949-857-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057811",
            "telephone_number": "714-835-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.