Active NPI
Chelsea Lee, DPT
- Physical Therapist
- Ardmore, OK
National Provider Identifier
1861098824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP030136T
- Practice address
- 1301 Kiowa St
Ardmore, OK 73401-2280 - Phone
- (580) 670-3117
- NPI assigned
- Dec 7, 2020
- Last updated
- Jun 27, 2024
- 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 | CP030136T | OK | Primary |
Addresses
Primary practice location
1301 Kiowa St
Ardmore, OK 73401-2280
Mailing address
1301 Kiowa St
Ardmore, OK 73401-2280
Phone (580) 670-3117
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP030136T | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1861098824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 KIOWA ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012280",
"telephone_number": "580-670-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 KIOWA ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012280",
"telephone_number": "580-670-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHELSEA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "CP030136T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.