Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Kim Lee, OTR

Individual provider Pediatric Occupational Therapist · NPI 1861523433

Gina Kim Lee, OTR is an Occupational Therapist in Private Practice in Jackson, Tennessee. Qualified in 2004, 22 years ago. Licensed in California and Tennessee.

Years since qualifying
22
Licensed in
CA, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1050 Union University Dr # 291
Jackson, TN 38305-3656
Phone: (818) 522-4561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 7945 (CA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 8119 (TN)

Record details

NPI number1861523433
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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