Individual provider Active NPI

Chao Rong Lee

  • Occupational Therapist
  • Diamond Bar, CA
National Provider Identifier
1992076483
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 2929 Issued in CA
Practice address
832 N Diamond Bar Blvd
Diamond Bar, CA 91765-1039
Phone
(909) 861-8211
Fax
(909) 861-8055
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 2929 CA Primary

Addresses

Primary practice location

832 N Diamond Bar Blvd
Diamond Bar, CA 91765-1039

Mailing address

832 N Diamond Bar Blvd
Diamond Bar, CA 91765-1039
Phone (909) 861-8211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000358 CA Practitioner - Occupational Therapist in Private Practice 6204093313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Care IncGroup PAC ID 5698090363, 2 clinicians

Practice addresses (Care Compare)

18897 Colima Rd
Suite C
Rowland Heights, CA 91748-2977
Phone (626) 965-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Star Care Inc Occupational Therapist CurrentSince Aug 1, 2014 Accepting new patients
NK Rehab Inc Occupational Therapist PastSince Jun 3, 2013 Accepting new patients

Locations

18897 Colima Rd
Ste C
Rowland Heights, CA 91748
Phone (626) 810-5272

18893 Colima Rd
Ste B
Rowland Heights, CA 91748
Phone (626) 965-3500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1992076483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651039",
            "telephone_number": "909-861-8211",
            "fax_number": "909-861-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651039",
            "telephone_number": "909-861-8211",
            "fax_number": "909-861-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHAO RONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.