Active NPI
James M Lee, DPT
- Physical Therapist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60462380
- Practice address
- 10821 19TH Ave SE Ste 102
Everett, WA 98208 - Phone
- (425) 225-5865
- Fax
- (425) 948-6643
- NPI assigned
- Jul 21, 2014
- 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 | PT 42590 | CA | |
| Physical Therapist | 225100000X | PT60462380 | WA | Primary |
Addresses
Primary practice location
10821 19TH Ave SE Ste 102
Everett, WA 98208
Mailing address
730 N Hamilton St
Spokane, WA 99202-2045
Phone (425) 225-5865
Other practice location 1
5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60462380 | Other | WA | PHYSICAL THERAPIST LICENSE |
| PT60462380 | Other | WA | WASHINGTON STATE DEPARTMENT OF LICENSING |
| PT42590 | Other | CA | STATE OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10821 19TH Ave SE
Suite 102
Everett, WA 98208-5103
Phone (425) 225-5865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 42590 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNW Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
10821 19th Ave SE
Everett, WA 98208
Phone (425) 337-7000
10821 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 225-5865
730 N Hamilton St
Spokane, WA 99202
Phone (509) 458-7686
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 and National Provider Directory roles.
-
- Physical Therapist
- Everett, WA
- NPI 1073086641
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1982011128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N HAMILTON ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022045",
"telephone_number": "425-225-5865",
"fax_number": "425-948-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10821 19TH AVE SE STE 102",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-225-5865",
"fax_number": "425-948-6643"
}
],
"practiceLocations": [
{
"address_1": "5420 Barnes Ave NW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98107",
"country_code": "US",
"telephone_number": "206-789-7975",
"fax_number": "206-782-6177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-21",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 42590",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60462380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "PT60462380",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF LICENSING",
"identifier": "PT60462380",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "PT42590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.