Individual provider Active NPI

Patrick Michael Lee Jr., DPT

  • Physical Therapist
  • Verona, NJ
National Provider Identifier
1174410369
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02339300 Issued in NJ
Practice address
271 Grove Ave Ste C
Verona, NJ 07044-1729
Phone
(201) 340-4846
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02339300 NJ Primary

Addresses

Primary practice location

271 Grove Ave Ste C
Verona, NJ 07044-1729

Mailing address

41 Cedar CT
Closter, NJ 07624-1012
Phone (551) 404-4930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805001108 NJ Practitioner - Physical Therapist in Private Practice 0941718530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Pursue Physical Therapy and Performance TrainingGroup PAC ID 9830463009, 6 clinicians

Practice addresses (Care Compare)

271 Grove Ave
Suite C
Verona, NJ 07044-1729
Phone (201) 340-4846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02339300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pursue Physical Therapy & Performance Training CurrentSince Jul 15, 2025 Accepting new patients

Locations

271 Grove Ave
Ste C
Verona, NJ 07044
Phone (201) 340-4846

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1174410369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CEDAR CT",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241012",
            "telephone_number": "551-404-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE C",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441729",
            "telephone_number": "201-340-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02339300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.