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

Jordan Lee

Individual provider Physical Therapist · NPI 1801386735

Jordan Lee is a Physical Therapist in Private Practice in Daleville, Virginia. Qualified in 2018, 8 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

65 Shenandoah Ave Ste 203
Daleville, VA 24083-3205
Phone: (540) 352-4304
Fax: (540) 591-7340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 2305211889 (VA)

Record details

NPI number1801386735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address825 Davis St Ste B, Blacksburg, VA 24060-7009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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