Individual provider Active NPI

Jey D Lee, PTA

  • Physical Therapy Assistant
  • Stevenson Ranch, CA
National Provider Identifier
1861296543
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
49928 Issued in CA
Practice address
25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281
Phone
(661) 284-1984
NPI assigned
Apr 2, 2025
Sex
Male
Sole proprietor
No

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49928CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clarita Valley Therapy Services CurrentSince Apr 6, 2025 Accepting new patients
MD Solutions Medical Corp PastSince Apr 6, 2025 Accepting new patients

Locations

25129 The Old Rd
Ste 100
Stevenson Rnh, CA 91381
Phone (661) 284-1984

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 49928 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281

Mailing address

25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281
Phone (661) 284-1984

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2025.

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1861296543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25129 THE OLD RD STE 100",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812281",
            "telephone_number": "661-284-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25129 THE OLD RD STE 100",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812281",
            "telephone_number": "661-284-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEY",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.