Individual provider Active NPI

Ellis Troy Lim Quee, PTA

  • Physical Therapy Assistant
  • Apopka, FL
National Provider Identifier
1902279946
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA26162 Issued in FL
Practice address
1251 Adirondack CT
Apopka, FL 32712-5666
Phone
(407) 860-4071
NPI assigned
Nov 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA26162 FL Primary

Addresses

Primary practice location

1251 Adirondack CT
Apopka, FL 32712-5666

Mailing address

1251 Adirondack CT
Apopka, FL 32712-5666
Phone (407) 860-4071

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
PTA26162FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1902279946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 ADIRONDACK CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125666",
            "telephone_number": "407-860-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 ADIRONDACK CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125666",
            "telephone_number": "407-860-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM QUEE",
        "first_name": "ELLIS",
        "middle_name": "TROY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.