Active NPI
Evelyn Paige Lee
- Physical Therapist
- Los Gatos, CA
National Provider Identifier
1881342624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298771
- Practice address
- 355 Dardanelli LN
Los Gatos, CA 95032 - Phone
- (408) 866-4036
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 298771 | CA | Primary |
Addresses
Primary practice location
355 Dardanelli LN
Los Gatos, CA 95032
Mailing address
1450 Marlbarough CT
Los Altos, CA 94024-5739
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
| License | State | Type | Specialty |
|---|---|---|---|
| 298771 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1881342624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 MARLBAROUGH CT",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 DARDANELLI LN",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-866-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EVELYN",
"middle_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.