Active NPI
Tiffany Breeze Lee, PTA
- Physical Therapy Assistant
- Bensalem, PA
National Provider Identifier
1083379499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE012731
- Practice address
- 2426 Bristol Rd
Bensalem, PA 19020-6002 - Phone
- (215) 918-9601
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE012731 | PA | Primary |
Addresses
Primary practice location
2426 Bristol Rd
Bensalem, PA 19020-6002
Mailing address
981 Rte 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141
Other practice location 1
12000 Bustleton Ave Ste 100
Philadelphia, PA 19116-2151
Phone (215) 677-8870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE012731 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1083379499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 RTE 22 FL 2",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072946",
"telephone_number": "201-801-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 BRISTOL RD",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190206002",
"telephone_number": "215-918-9601"
}
],
"practiceLocations": [
{
"address_1": "12000 Bustleton Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191162151",
"country_code": "US",
"telephone_number": "215-677-8870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "TIFFANY",
"middle_name": "BREEZE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE012731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.