Active NPI
Jennifer Lee
- Physical Therapist
- The Woodlands, TX
National Provider Identifier
1962763524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1060226
- Practice address
- 35 Heather Wisp PL
The Woodlands, TX 77381-6405 - Phone
- (832) 260-8993
- Fax
- (832) 426-0299
- NPI assigned
- May 30, 2012
- 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 | 1060226 | TX | Primary |
Addresses
Primary practice location
35 Heather Wisp PL
The Woodlands, TX 77381-6405
Mailing address
520 Birdsong Dr
League City, TX 77573-2548
Phone (832) 260-8993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060226 | Other | TX | PT LICENSE |
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 |
|---|---|---|---|
| 1060226 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Childrens Therapy Group LTD. | Physical Therapist | Past | Accepting new patients |
| Advanced Children'S Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- League City, TX
- NPI 1386041382
-
- Physical Therapist
- League City, TX
- NPI 1972832574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1962763524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 BIRDSONG DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732548",
"telephone_number": "832-260-8993",
"fax_number": "832-426-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 HEATHER WISP PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773816405",
"telephone_number": "832-260-8993",
"fax_number": "832-426-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1060226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "1060226",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.