Mister Lee, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

40QA00978200 Issued in NJ

Practice address

132 Evergreen Rd
Edison, NJ 08837-2484

Phone

(732) 452-4100

NPI assigned

Jan 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• V and S Rehabilitation Therapy Services, LLC

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1811574445

  Geriatrics

  NPD
• Rehabilitation Institute of North Jersey

  dba Dr Robert A Siconolfi, INC

  • Specialist
  • Lodi, NJ
  • NPI 1316174238
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1689905135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HIGH ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162945",
            "telephone_number": "646-552-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISTER",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA00978200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Lee, MD
• Huei Yuh Lee, PT
• Hyun Sang Lee, O.D.
• Janee Michele Lee
• Jason Chia-Tse Lee, MD
• Sungki Lee, D.M.D.
• Yoosan Lee
• Legacy Empowerment Services LLC
• Legacy Empowerment Services LLC (Legacy)
• Legacy Empowerment Services LLC

• Geriatric Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Geriatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.