Taylor D Lee, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00995200 Issued in NJ

Practice address

4 Forest Ave
Paramus, NJ 07652-5214

Phone

(201) 977-4441

Fax

(877) 977-4440

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Hahnemann University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maven Physical Therapy LLCGroup PAC ID 3971699620, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maven Northeast Bergen, LLC

  • Physical Therapy Clinic/Center
  • Palisades Park, NJ
  • NPI 1023782323

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Maven Physical Therapy L.L.C.

  • Physical Therapist
  • Paramus, NJ
  • NPI 1558412429
  Medicare reassignment Care Compare group
• Peter Barnett & Howard J Phillips

  • Physical Therapist
  • Cedar Grove, NJ
  • NPI 1376523605
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1568432011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076530125",
            "telephone_number": "201-977-4441",
            "fax_number": "877-977-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-977-4441",
            "fax_number": "877-977-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAYLOR",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00995200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "208253ZB7C",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Joohee Lee, D.C.
• Jennifer Lee
• Kenneth N Lee, DDS
• Lauren Nicole Lee, CRNA
• Linda M Lee, LSW
• Tonel Leibu, M.D.
• Leisure Bridges
• Vasiliki Lekkas
• Stephen Lereah
• Douglas Drew Leventhal, M.D.

• Physical Therapist in Paramus, NJ
• Providers in Paramus, 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 May 18, 2017; 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.