Healthcare Provider Details

I. General information

NPI: 1902729916
Provider Name (Legal Business Name): JULIA NICOLE LEE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BEACH ST
WESTERLY RI
02891-2784
US

IV. Provider business mailing address

81 BEACH ST
WESTERLY RI
02891-2784
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-3593
  • Fax: 401-596-3789
Mailing address:
  • Phone: 401-596-3593
  • Fax: 401-596-3789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13777
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT03747
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: