Elise Lee, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00185300 Issued in NJ

Practice address

1361 Route 72 W
Manahawkin, NJ 08050-2402

Phone

(609) 978-0600

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1356986129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S BAY AVE",
            "city": "BEACH HAVEN",
            "state": "NJ",
            "postal_code": "080081708",
            "telephone_number": "908-331-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502402",
            "telephone_number": "609-978-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00185300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P Lattanzi, MD
• Colleen Laughery, LAC
• Lauren Condoleon Ms Otr L LLC
• Adam Larry Lazarus, MD
• Victoria L Leaman, PHARM.D.
• Robert Edward Lee III, M.D.
• Todd Jerry Lehrfeld, MD
• Thomas Lembo Jr., D.P.M.
• Gary P Lengel, MD
• Stacey Lenz

• Physical Therapy Assistant in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.