Provider Demographics
NPI:1003078957
Name:SPILMAN, LEE (DPT)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:SPILMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 WINTER GARDEN VINELAND RD
Mailing Address - Street 2:STE 206
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6098
Mailing Address - Country:US
Mailing Address - Phone:407-573-3360
Mailing Address - Fax:407-643-2811
Practice Address - Street 1:3701 NW CARY PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8431
Practice Address - Country:US
Practice Address - Phone:919-388-0111
Practice Address - Fax:919-228-3333
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT254912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC150FVOtherBCBS OF NC
NC2504213Medicare UPIN