Michael Edward Lee, SPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43323 Issued in CA

Practice address

2945 Junipero Serra Blvd
Daly City, CA 94014-2549

Phone

(650) 755-8830

NPI assigned

Dec 31, 2015

Sex

Male

Sole proprietor

Yes

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.

• Peninsula Hand Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Daly City, CA
  • NPI 1750409561
  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1841656170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RIDGEWOOD DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "SPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kealailani Lee
• Kiana Lee, PA-C
• Lindsey Lee, PT, DPT
• Lisa Lee
• Matthew Lee
• Milton Lee, LAC
• Nelson W Lee, DC
• Oliver Lee
• Sandy Lee
• Sandy K. Lee, MD

• Physical Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.