Individual provider Active NPI

Lee-Yen Shu, PHYSICIAL THERAPIST

  • Physical Therapist
  • Plainsboro, NJ
National Provider Identifier
1124527437
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00382900 Issued in NJ
Practice address
408 Plainsboro Road
Plainsboro, NJ 08536
Phone
(732) 822-9293
Fax
(609) 750-1650
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00382900 NJ Primary

Addresses

Primary practice location

408 Plainsboro Road
Plainsboro, NJ 08536

Mailing address

408 Plainsboro Road
Plainsboro, NJ 08536
Phone (732) 822-9293

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

LicenseStateTypeSpecialty
40QA00382900NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1124527437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PLAINSBORO ROAD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "732-822-9293",
            "fax_number": "609-750-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 PLAINSBORO ROAD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "732-822-9293",
            "fax_number": "609-750-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "LEE-YEN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00382900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.