Active NPI
Erin Lee, DPT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1861841306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12673
- Practice address
- 2655 W Carefree Hwy
Phoenix, AZ 85085-8862 - Phone
- (623) 434-4655
- Fax
- (623) 434-4657
- NPI assigned
- Jun 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL0013982 | CO | |
| Physical Therapist | 225100000X | 12673 | AZ | Primary |
Addresses
Primary practice location
2655 W Carefree Hwy
Phoenix, AZ 85085-8862
Mailing address
1717 N Kittredge Rd
Flagstaff, AZ 86001-1167
Phone (928) 606-4768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL0013982 | Other | CO | CO PT LICENSE |
| 12673 | Other | AZ | ARIZONA STATE LICENSE |
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 |
|---|---|---|---|
| 12673 | AZ | MD | Physical Therapist |
| PTL0013982 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- egreos204621@direct.childrenscolorado.org
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1861841306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N KITTREDGE RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011167",
"telephone_number": "928-606-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 W CAREFREE HWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858862",
"telephone_number": "623-434-4655",
"fax_number": "623-434-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0013982",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO PT LICENSE",
"identifier": "PTL0013982",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE LICENSE",
"identifier": "12673",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.