Active NPI
Elizabeth C Lee, PT
- Physical Therapist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1011336
- Practice address
- 2421 Ira E Woods Ave
Suite 101
Grapevine, TX 76051-3906 - Phone
- (817) 410-7773
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 1011336 | TX | Primary |
Addresses
Primary practice location
2421 Ira E Woods Ave
Suite 101
Grapevine, TX 76051-3906
Mailing address
2421 Ira E Woods Ave
Suite 101
Grapevine, TX 76051-3906
Phone (817) 410-7773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887T81 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000165 | TX | Practitioner - Physical Therapist in Private Practice | 0749474203 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Restoration Health LP
Practice addresses (Care Compare)
2421 Ira E Woods Ave
Suite 101
Grapevine, TX 76051-3907
Phone (817) 410-7773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011336 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Rehab Partners, LP | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners, LP | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners LP | Physical Therapist | Current | Accepting new patients |
Locations
8708 Medical City Way
Fort Worth, TX 76177
Phone (817) 345-0176
5000 Western Center Blvd
Ste 220
Haltom City, TX 76137
Phone (817) 514-0519
5100 Eldorado Pkwy
#10220
McKinney, TX 75070
Phone (469) 310-1700
Organizations & group practices 4
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
- Melissa, TX
- NPI 1770259293
-
- Physical Therapist
- Ft Worth, TX
- NPI 1710223318
-
- Physical Therapist
- Haltom City, TX
- NPI 1831435437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1972759249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 IRA E WOODS AVE",
"address_2": "SUITE 101",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513906",
"telephone_number": "817-410-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 IRA E WOODS AVE",
"address_2": "SUITE 101",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513906",
"telephone_number": "817-410-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIZABETH",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1011336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "887T81",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.