Individual provider Active NPI

Angela S Lee, MSPT

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1841592136
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25101 Issued in FL
Practice address
1615 SW Ocean Cove Ave
Port Saint Lucie, FL 34953-2561
Phone
(954) 579-5619
Fax
(772) 673-0523
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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 PT25101 FL Primary

Addresses

Primary practice location

1615 SW Ocean Cove Ave
Port Saint Lucie, FL 34953-2561

Mailing address

1615 SW Ocean Cove Ave
Port Saint Lucie, FL 34953-2561
Phone (954) 579-5619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000961 FL Practitioner - Physical Therapist in Private Practice 7517156466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy Sport Medicine IncGroup PAC ID 3173413549, 37 clinicians

Practice addresses (Care Compare)

10560 SW Village Pkwy
Port St Lucie, FL 34987-2359
Phone (772) 335-7966

Merit-based Incentive Payment System (MIPS)

Final score
75.32 of 100Reported as individual
Quality
70.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25101FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Vero Orthopaedics II PA PastSince Jul 1, 1997 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients
Gina'S Physical Therapy, Inc Physical Therapist PastSince Jul 1, 2003 Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

10560 SW Village Pkwy
Port St Lucie, FL 34987
Phone (772) 446-0203

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1841592136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SW OCEAN COVE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532561",
            "telephone_number": "954-579-5619",
            "fax_number": "772-673-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SW OCEAN COVE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532561",
            "telephone_number": "954-579-5619",
            "fax_number": "772-673-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.