Lee Physical Therapy and Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012403 Issued in GA

Legal business name

LEE PHYSICAL THERAPY AND REHAB INC

Practice address

3473 Old Norcross Rd
Suite 306
Duluth, GA 30096-4610

Phone

(470) 395-8988

Fax

(470) 246-5090

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jong Il Lee, D.C.NPI 1700023215

Title

President

Phone

(470) 395-8988

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong I Lee, D.C.

  • Hearing Instrument Specialist
  • Norcross, GA
  • NPI 1700023215
  NPD Authorized official

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1275065252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 OLD NORCROSS RD",
            "address_2": "SUITE 306",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964610",
            "telephone_number": "470-395-8988",
            "fax_number": "470-246-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 OLD NORCROSS RD",
            "address_2": "SUITE 306",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964610",
            "telephone_number": "470-395-8988",
            "fax_number": "470-246-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PHYSICAL THERAPY AND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "IL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-395-8988",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT012403",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lam Le
• Calesa Nicole Leach, MS, CCC-SLP
• Jennifer Lech, M.P.T.
• Wendy Ledesma, PA
• Lee Home Care LLC
• Abraham Lee, MD
• Beom J Lee, D.D.S.
• Brandon Yongjo Lee, L.AC.
• Cassidy Lee
• Christopher J Lee, M.D.

• Physical Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.