Individual provider Active NPI

Elizabeth C Lee, PT

  • Physical Therapist
  • Grapevine, TX
National Provider Identifier
1972759249
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1011336 Issued in TX
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

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
887T81OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 4 clinicians

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

LicenseStateTypeSpecialty
1011336TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Rehab Partners, LP Physical Therapist CurrentSince Jun 10, 2020 Accepting new patients
Vista Rehab Partners, LP Physical Therapist Current Accepting new patients
Vista Rehab Partners LP Physical Therapist CurrentSince Jun 10, 2020 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.

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.

Verify at the official NPI Registry.