Caroline G Lee, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022815 Issued in NY

Practice address

4511 43Rd Ave Apt 3a
Sunnyside, NY 11104-1941

Phone

(646) 209-2256

Fax

(718) 729-2901

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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

• Dynacare Physical Therapy, PLLC

  • Physical Therapist
  • Sunnyside, NY
  • NPI 1003162603
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477651909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 43RD AVE APT 3A",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041941",
            "telephone_number": "646-209-2256",
            "fax_number": "718-729-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 43RD AVE APT 3A",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041941",
            "telephone_number": "646-209-2256",
            "fax_number": "718-729-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Kumari, PHARMD
• Jocelyn Fae Kupperman, M.S., CCC- SLP
• Loredana Ladogana, MD
• Matthew Watkins Lazar, PA-C
• Aena Lee
• Eunnie Michelle Lee, LMSW
• Hyun Min Lee, MSED
• Lai Y Lee
• Sally Lee, MSED
• Ana C Leguisamo, M.S., OTR/L

• Physical Therapist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.