MEDICARE: ALINA WRIGHT LEE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	300821	CA
2	225100000X	Physical Therapist	PT-7963	ID

General Provider Information

NPI Number	:	1912675836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA WRIGHT LEE PT, DPT

Provider Business Mailing Address
First Line	:	380 STEVENS AVE STE 314
Second Line	:
City	:	SOLANA BEACH
State	:	CA
Zip	:	92075-2069
Country	:	US
Telephone Number	:	858-755-5200
Fax Number	:	858-755-5201

Provider Business Practice Location Address
First Line	:	7325 W RIVERSIDE DR
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-6171
Country	:	US
Telephone Number	:	208-996-3421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	07/03/2025

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