RYAN LEE (OT) – Occupational Therapist, NPI 1801856067

RYAN LEE (OT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 31003989A (IN). The NPI Number for RYAN LEE (OT) is 1801856067

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RYAN LEE (OT)
NPI
1801856067
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
23 March 2006
Last Update Date
28 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654776464
Graduation Year
2003 (23 years ago)
PAC ID
3274718986
Group Practice PAC ID
6002959525
Professional Enrollment ID
I20110422000264
Address ID
IN479094402LA3218XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

490 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for RYAN LEE (OT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Fax: (630) 759-9510

    Type: Mailing

  • Daugherty Drive, Lafayette, Tippecanoe County, Indiana, 47909, United States

    LAFAYETTE, IN 479094402

    Phone: (765) 477-6464

    Fax: (765) 477-6262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110422000264IOccupational Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68930$0
97530Therapy procedure using functional activities23322$0
97167Evaluation for occupational therapy, typically 1 hour1716$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

RYAN LEE (OT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYIN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13613

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002959525View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-ID
Physical Therapist In Private PracticeIL
-IN
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN LEE (OT)?
RYAN LEE (OT) — NPI 1801856067 — is the standard way to identify this listing.
Is RYAN LEE (OT) listed as active for patients and plans?
The listing shows RYAN LEE (OT) as active in the NPI system.
What is RYAN LEE (OT)'s primary classification?
Occupational Therapist is the headline specialty for RYAN LEE (OT) here. Clinical services aligned with this taxonomy classification.
What address line appears for RYAN LEE (OT)?
RYAN LEE (OT)'s geographic hint is Bolingbrook, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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