Organization Active NPI

Lee Rehabilitation Medicine Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
National Provider Identifier
1811845548
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LEE REHABILITATION MEDICINE ASSOCIATES PLLC
Practice address
24654 N Lake Pleasant Pkwy Ste 103-719
Peoria, AZ 85383-1359
Phone
(480) 744-2128
Fax
(773) 360-9488
NPI assigned
Mar 18, 2026
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Augustine Lee, MDNPI 1063948529
Title
Owner
Phone
(773) 744-3577

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 Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

24654 N Lake Pleasant Pkwy Ste 103-719
Peoria, AZ 85383-1359

Mailing address

10741 W El Cortez PL Apt 3136
Peoria, AZ 85383-9612
Phone (480) 744-2128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608003734 AZ Part B Supplier - Clinic/Group Practice 1951872175 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

24654 N Lake Pleasant Pkwy
Ste 103719
Peoria, AZ 85383
Phone (480) 744-2128

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": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1811845548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 W EL CORTEZ PL APT 3136",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853839612",
            "telephone_number": "480-744-2128",
            "fax_number": "773-360-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY STE 103-719",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "480-744-2128",
            "fax_number": "773-360-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE REHABILITATION MEDICINE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-744-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.