Libby Kim Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306884 Issued in CA

Practice address

525 E Main St
El Cajon, CA 92020-4007

Phone

(619) 515-2498

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1841027679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 SNOW WHITE DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212083",
            "telephone_number": "619-829-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204007",
            "telephone_number": "619-515-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LIBBY",
        "middle_name": "KIM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eun Mi Lee
• Jazmine Elizabeth Nicole Lee
• Jihee Choi Lee, PHARM D.
• Joanne Ju-Eun Lee
• Kwi Yeom Lee, PHARM.D.
• Peter Muping Lee, PT, DPT, PCS
• Sally Lee, PHARM.D.
• Shannon Lee
• Yoomin Lee
• Wendy Ann Leeds, LMFT

• Physical Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.