NPIMap

Individual provider Active NPI

Arthur Lee III, DPT

  • Physical Therapist
  • Olive Branch, MS
National Provider Identifier
1841675659
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1300318 Issued in TX
Practice address
7501 Goodman Rd
Suite I
Olive Branch, MS 38654
Phone
(662) 890-3382
NPI assigned
Jul 22, 2015
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4004 AR
Physical Therapist 225100000X 10422 TN
Physical Therapist 225100000X 5835 MS
Physical Therapist 225100000X 1300318 TX Primary

Addresses

Primary practice location

7501 Goodman Rd
Suite I
Olive Branch, MS 38654

Mailing address

7501 Goodman Rd
Suite I
Olive Branch, MS 38654-1951
Phone (662) 890-3382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802000073 TX Practitioner - Physical Therapist in Private Practice 9133436926 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4004ARMDDentist
5835MSMDPhysical Therapist
10422TNMDPhysical Therapist
1300318TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 5, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jan 17, 2024 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 5, 2023 Accepting new patients
Infinite Athlete Physical Therapy Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Jan 17, 2024 Accepting new patients
Oakbend Medical Center PastSince May 25, 2022 Accepting new patients
Cross Creek Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1841675659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GOODMAN RD",
            "address_2": "SUITE I",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541951",
            "telephone_number": "662-890-3382",
            "fax_number": "662-890-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GOODMAN RD",
            "address_2": "SUITE I",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-890-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4004",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10422",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5835",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1300318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.