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NICOLE MARIKO ELBY LEE PT,DPT,SCS,ATC,CSCS
NPI 1861917577
Physical Therapist - Sports in Malibu, CA

Active since August 03, 2017
24255 PACIFIC COAST HWY, MALIBU, CA 90263(310) 506-4000 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Jul 26, 2019, Jul 10, 2019 and 1 more (4 updates tracked since 2017).

About Nicole Mariko Elby Lee Pt,dpt,scs,atc,cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIKO ELBY LEE PT,DPT,SCS,ATC,CSCS (NPI 1861917577) is an individual sports provider in Malibu, California, licensed in California (PT292166) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1861917577
Entity TypeIndividualFemale
Primary Taxonomy2251S0007X
Provider Legal NameNICOLE MARIKO ELBY LEECredential: PT,DPT,SCS,ATC,CSCS
Location Address24255 PACIFIC COAST HWYMalibu, CA 90263-3999
Mailing Address24255 Pacific Coast HwyMalibu, CA 90263-3999
Phone(310) 506-4000
Sole ProprietorNo
Enumeration DateAugust 3, 2017
Last NPPES UpdateDecember 22, 20224 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1861917577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in CA · PT292166
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
24255 PACIFIC COAST HWY, Malibu, CA 90263
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Other Names 1

Former Name (1)Nicole Mariko Elby Pt,dpt,scs,atc,cscs

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEPPERDINE UNIVERSITY
Clinic/Center (Student Health)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4316
KATHERINE SNIFFEN ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, ATHLETIC DEPARTMENT
MALIBU, CA 90263
Los Angeles County (310) 506-4169
NANCY SAFINICK P.A.
Physician Assistant
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4316
ALEX JASON VANDER VORSTE MS, ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY, PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA 90263
Los Angeles County (310) 506-4169
NICOLE DENISE BULICK ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4169
ANNIE PLUMB LAT, ATC, MS
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (402) 517-8488
DR. KATHLEEN ELDRIDGE PHD
Psychologist (Clinical)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-8559
KARISSA ANN SCHERER MS, ATC
Specialist/Technologist (Athletic Trainer)
24255 PACIFIC COAST HWY
MALIBU, CA 90263
Los Angeles County (310) 506-4961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lee's NPI number?

The NPI number for Nicole Lee is 1861917577. It was assigned to this individual provider in the NPPES registry on August 3, 2017. The provider is also known as Nicole Mariko Elby Pt,dpt,scs,atc,cscs.

Where is Nicole Lee located?

Nicole Lee practices at 24255 Pacific Coast Hwy, Malibu, CA 90263. The listed phone number is (310) 506-4000.

What is Nicole Lee's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Nicole Lee was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.