Active NPI
Joshua Jimmy Lee, PT, DPT, ATC
- Orthopedic Physical Therapist
- San Carlos, CA
National Provider Identifier
1881228369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 298180
- Practice address
- 1100 Industrial Rd Ste 11a
San Carlos, CA 94070-4167 - Phone
- (650) 593-5700
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 298180 | CA | Primary |
Addresses
Primary practice location
1100 Industrial Rd Ste 11a
San Carlos, CA 94070-4167
Mailing address
30687 Ratekin Dr
Union City, CA 94587-1662
Phone (650) 863-4898
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matoso-Tognetti, Inc. | Orthopedic | Current | Accepting new patients |
Locations
1100 Industrial Rd
Ste 11A
San Carlos, CA 94070
Phone (650) 593-5700
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1881228369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30687 RATEKIN DR",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871662",
"telephone_number": "650-863-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 INDUSTRIAL RD STE 11A",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940704167",
"telephone_number": "650-593-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOSHUA",
"middle_name": "JIMMY",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "298180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.