Active NPI
Angela S Lee, MSPT
- Physical Therapist
- Port Saint Lucie, FL
National Provider Identifier
1841592136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 70.96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25101 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy & Sports Medicine | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy Sport Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Vero Orthopaedics II PA | Past | Accepting new patients | |
| Vero Orthopaedics II PA | Past | Accepting new patients | |
| Gina'S Physical Therapy, Inc | Physical Therapist | Past | 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
- 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.
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1649380064
-
- Physical Therapist
- Jensen Beach, FL
- NPI 1265724330
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1417067844
-
- Physical Therapist
- Stuart, FL
- NPI 1023298437
-
- Orthopaedic Surgery Physician
- Sebastian, FL
- NPI 1134441660
-
- Neuromusculoskeletal Medicine & OMM Physician
- Vero Beach, FL
- NPI 1184626079
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.