Sheryl Ann Lee, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1503 Issued in CA

Practice address

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604-7701

Phone

(949) 679-3337

Fax

(949) 679-3336

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheryl Ann Poblete Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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  NPD
• Southside Physical Therapy and Sports Center

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1174891980
  NPD (past)
• Southside Physical Therapy and Training Center Inc

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1316103260

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1881663540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT1503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AZ229X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "POBLETE",
            "middle_name": "ANN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sehyun Lee
• Semi Lee, L.AC.
• Seung Hyon Lee, PHYSICAL THERAPIST
• Seungyoun Lee
• Shane Lee, L.AC.
• Soo Kyoung Sarah Lee
• Spencer Jonathan Lee, PT, DPT
• Stephanie H Lee
• Stephen Bumsuk Lee, M.D.
• Steve Suk-Hee Lee, PHARM D

• Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.