Joint & Spine Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01076000

Legal business name

JOINT & SPINE PHYSICAL THERAPY PC

Practice address

1608 Lemoine Ave Ste 202
Fort Lee, NJ 07024-5636

Phone

(201) 894-5454

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Soyoung Lee, PTNPI 1023298411

Title

Owner

Phone

(201) 894-5451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Jennifer Soyoung Lee, RPT

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1023298411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1346763489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 202",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 202",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-894-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT & SPINE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-01-06",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SOYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-894-5451",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": "40QA01076000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JK Nephrology and Hypertension LLC
• Joel D Singer DMD
• John Kim MD Med & Geriatrics, LLC
• John T. Miele, PH.D.
• Victoria Lecorian Johnson, M.D.
• Rose Marjorie Jones, LCSW-R
• Jong H Kim,MD'S Pain & Rehab Center PC
• Evan Gee Young Joo
• Joseph C Iraci MD PC
• Nicholas Jovic, PT

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.