Tiffany Lee, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01408100 Issued in NJ

Practice address

427 3Rd St
Palisades Park, NJ 07650-1748

Phone

(201) 390-4001

NPI assigned

May 8, 2012

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Home Physical Therapy LLCGroup PAC ID 0749530467, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advance Home Physical Therapy LLC

  • Physical Therapist
  • Fairfield, NJ
  • NPI 1285111864
  Medicare reassignment Care Compare group NPD Authorized official
• Spectrum Physical Therapy and Athletic Training LLC

  • Sports Physical Therapist
  • Edgewater, NJ
  • NPI 1417140906
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1609135839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BELAIR DR",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041703",
            "telephone_number": "201-390-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 3RD ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501748",
            "telephone_number": "201-390-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TIFFANY",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01408100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miok Lee
• Moonsae Lee, DDS
• Sieun Lee, MPT
• Sun Young Lee
• Sung-Won Lee, M.D.
• Edward Liguori
• Daniel Lim
• Hyung Jun Lim, DPT
• Sara Marie Lin
• LML Supermarkets Incorporated

• Physical Therapist in Palisades Park, NJ
• Providers in Palisades Park, 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 Jul 21, 2018; 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.