Individual provider Active NPI

Andrew Justin Yee, PT, DPT

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1700587243
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02129200 Issued in NJ
Practice address
400 NJ-70
#1
Lakewood, NJ 08701
Phone
(866) 959-2846
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02129200 NJ Primary

Addresses

Primary practice location

400 NJ-70
#1
Lakewood, NJ 08701

Mailing address

278 W Inman Ave
Rahway, NJ 07065-2835
Phone (732) 259-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330002607 NJ Practitioner - Physical Therapist in Private Practice 9335514538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02129200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Rehab Corp Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1700587243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 W INMAN AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652835",
            "telephone_number": "732-259-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NJ-70",
            "address_2": "#1",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "866-959-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "ANDREW",
        "middle_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02129200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.