Organization Active NPI

Hyunseok Lee, DPT

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1841889243
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HYUNSEOK LEE, DPT
Practice address
810 Abbott Blvd Ste 104
Fort Lee, NJ 07024-4116
Phone
(201) 514-1452
Fax
(201) 523-5423
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Hyunseok Lee, DPTNPI 1548660582
Title
Authorized Official
Phone
(347) 886-8584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

810 Abbott Blvd Ste 104
Fort Lee, NJ 07024-4116

Mailing address

810 Abbott Blvd Ste 104
Fort Lee, NJ 07024-4116
Phone (201) 514-1452

Other names 1

  • Essential Physical Therapy and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517000033 NJ Part B Supplier - Clinic/Group Practice 3779992169 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

810 Abbott Blvd
Ste 104
Fort Lee, NJ 07024
Phone (201) 514-1452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1841889243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD STE 104",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244116",
            "telephone_number": "201-514-1452",
            "fax_number": "201-523-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD STE 104",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244116",
            "telephone_number": "201-514-1452",
            "fax_number": "201-523-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNSEOK LEE, DPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNSEOK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "347-886-8584",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.