Active NPI
Andrew Jeffery Lee, DPT
- Physical Therapist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41187
- Practice address
- 707 E Cervantes St Ste B216
Pensacola, FL 32501-3286 - Phone
- (850) 912-9203
- NPI assigned
- Jan 31, 2024
- Last updated
- Mar 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305216278 | VA | |
| Physical Therapist | 225100000X | PT41187 | FL | Primary |
Addresses
Primary practice location
707 E Cervantes St Ste B216
Pensacola, FL 32501-3286
Mailing address
740 Hannas Ter
Pensacola, FL 32506-8479
Phone (540) 520-8527
Other practice location 1
20311 Timberlake Rd Ste B
Lynchburg, VA 24502-7203
Phone (434) 237-6812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41187 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Associates of Central Virginia, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1111 Corporate Park Dr
Ste B
Forest, VA 24551
Phone (434) 525-4851
20311 Timberlake Rd
#B
Lynchburg, VA 24502
Phone (434) 237-6812
20311B Timberlake Rd
Lynchburg, VA 24502
Phone (434) 237-6812
20347 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 237-6812
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lynchburg, VA
- NPI 1144770835
-
- Durable Medical Equipment & Medical Supplies
- Lynchburg, VA
- NPI 1851843718
Physical Therapist
-
dba Rehab Associates of Central Virginia
- Physical Therapist
- Lynchburg, VA
- NPI 1699727016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1922861285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 HANNAS TER",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325068479",
"telephone_number": "540-520-8527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E CERVANTES ST STE B216",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325013286",
"telephone_number": "850-912-9203"
}
],
"practiceLocations": [
{
"address_1": "20311 Timberlake Rd Ste B",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245027203",
"country_code": "US",
"telephone_number": "434-237-6812",
"fax_number": "434-509-1695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "ANDREW",
"middle_name": "JEFFERY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216278",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.