Individual provider Active NPI

Lee Edward Stryker, MSPT

  • Physical Therapist
  • Whitehouse Station, NJ
National Provider Identifier
1811100670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA009545 Issued in NJ
Practice address
200 Teasel CT
Whitehouse Station, NJ 08889-2000
Phone
(908) 534-8974
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA009545 NJ Primary
Physical Therapist 225100000X 021578-1 NY

Addresses

Primary practice location

200 Teasel CT
Whitehouse Station, NJ 08889-2000

Mailing address

200 Teasel CT
Whitehouse Station, NJ 08889-2000
Phone (908) 534-8974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000249 NY Practitioner - Physical Therapist in Private Practice 2860579844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Clinical Care PLLCGroup PAC ID 5799083655, 10 clinicians

Practice addresses (Care Compare)

178 Morrison Ave
Staten Island, NY 10310-2835
Phone (718) 916-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA009545NJMDPhysical Therapist
021578-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Clinical Care PLLC CurrentSince Apr 1, 2016 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Welllife Network Inc. CurrentSince Apr 1, 2006 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Welllife Network Inc CurrentSince Apr 1, 2006 Accepting new patients
Welllife Network Inc., Current Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

14202 20th Ave
#3
Flushing, NY 11351

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811100670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TEASEL CT",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088892000",
            "telephone_number": "908-534-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TEASEL CT",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088892000",
            "telephone_number": "908-534-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYKER",
        "first_name": "LEE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA009545",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021578-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.