DR. KENNETH LEE (DPT) – Physical Therapist, NPI 1730660531

DR. KENNETH LEE (DPT) is a healthcare provider. based in Miramar, Florida. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT0008977 (FL). The NPI Number for DR. KENNETH LEE (DPT) is 1730660531

Main info

Male
Sole Proprietor
Name
DR. KENNETH LEE (DPT)
NPI
1730660531
Phone
(954) 800-0186
Address
13178 SW 30TH ST
Enumeration Date
28 August 2018
Last Update Date
24 April 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENNETH LEE (DPT)

  • 13178, Southwest 30th Street, Miramar, Broward County, Florida, 33027, United States

    MIRAMAR, FL 330273838

    Phone: (954) 800-0186

    Mailing address matches the actual address.

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: 2019-07-19

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
I20190719001805IPhysical Therapist In Private PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33027)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KENNETH LEE (DPT)?
DR. KENNETH LEE (DPT) — NPI 1730660531 — is the standard way to identify this listing.
Can I rely on DR. KENNETH LEE (DPT) being an active provider?
As of the registry snapshot, DR. KENNETH LEE (DPT) is marked active.
What taxonomy line describes DR. KENNETH LEE (DPT)?
For research purposes, treat DR. KENNETH LEE (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KENNETH LEE (DPT) on a map?
Expect Miramar, Florida as a primary anchor for DR. KENNETH LEE (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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