Individual provider Active NPI

Kathryn Lee, PT, DPT, OCS

  • Physical Therapist
  • Westwood, MA
National Provider Identifier
1851721260
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20865 Issued in MA
Practice address
10 Longwood Dr
Westwood, MA 02090-1123
Phone
(781) 237-1769
NPI assigned
Nov 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 20865 MA Primary

Addresses

Primary practice location

10 Longwood Dr
Westwood, MA 02090-1123

Mailing address

99 Poplar St
Roslindale, MA 02131-3636
Phone (202) 257-3759

Other names 1

  • Katie Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20865MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Groundwork Physical Therapy, LLC CurrentSince Dec 13, 2020 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Nov 11, 2013 Accepting new patients

Organizations & group practices 2

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": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1851721260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 POPLAR ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313636",
            "telephone_number": "202-257-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LONGWOOD DR",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901123",
            "telephone_number": "781-237-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATHRYN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.