NPIMap

Organization Active NPI

Fort Lee Physical Therapy, P.C.

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1003050436
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FORT LEE PHYSICAL THERAPY, P.C.
Practice address
2050 Center Ave Ste 375
Fort Lee, NJ 07024-4936
Phone
(201) 585-7300
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hyun Joo Park, DPTNPI 1568612992
Title
President
Phone
(201) 585-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NJ Primary

Addresses

Primary practice location

2050 Center Ave Ste 375
Fort Lee, NJ 07024-4936

Mailing address

2050 Center Ave Ste 375
Fort Lee, NJ 07024-4936
Phone (201) 585-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000725 NJ Part B Supplier - Clinic/Group Practice 4880747195 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

2050 Center Ave
Ste 375
Fort Lee, NJ 07024
Phone (201) 564-0691

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1003050436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE STE 375",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244936",
            "telephone_number": "201-585-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE STE 375",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244936",
            "telephone_number": "201-585-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-585-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.