Jason Lee, DPT
Physical Therapist in O Fallon, MO. Individual provider (NPI-1).
NPI number1194516211
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1194516211
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Lee
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2025
- Certification date
- May 16, 2025
- Last updated
- Aug 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2025032460 | MO | Yes |
Practice location
1 Progress Point PkwySte 100
O Fallon, MO 63368-2211
Phone 314-286-1940 · Fax 314-747-7044
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-286-1940 · Fax 314-747-7044
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 136 Physical Therapist providers in O Fallon · All 1,566 providers in O Fallon
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