Sieun Lee, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01132500 Issued in NJ

Practice address

21 Grand Ave
Palisades Park, NJ 07650-1076

Phone

(201) 313-4840

Fax

(201) 313-9353

NPI assigned

Oct 23, 2007

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

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.

• Comprehensive Pain Therapy Center, PC

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1851478846
  NPD (past)
• Our Home Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Englewood, NJ
  • NPI 1568986131
  NPD (past)
• Tristate Medical Care PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palisades Park, NJ
  • NPI 1053352468
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1700075017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-313-4840",
            "fax_number": "201-313-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-313-4840",
            "fax_number": "201-313-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIEUN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01132500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Jin Lee, RPH
• Mary Lee
• Matthew Jonghyock Lee, D.D.S.
• Miok Lee
• Moonsae Lee, DDS
• Sun Young Lee
• Sung-Won Lee, M.D.
• Tiffany Lee, PT DPT
• Edward Liguori
• Daniel Lim

• 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 Oct 23, 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.