Organization Active NPI

Lee Chiropractic & Athletic Training PLLC

  • Medical Specialty Clinic/Center
  • Geneseo, NY
National Provider Identifier
1881837391
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
X011060 Issued in NY
Legal business name
LEE CHIROPRACTIC & ATHLETIC TRAINING PLLC
Practice address
131 Main St.
Suite 7
Geneseo, NY 14454-1242
Phone
(585) 447-2775
Fax
(585) 286-3100
NPI assigned
Apr 14, 2009
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Jeremy James Lee, DC, ATCNPI 1356332605
Title
Owner
Phone
(585) 447-2775

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
Medical Specialty Clinic/Center 261QM2500X X011060 NY Primary

Addresses

Primary practice location

131 Main St.
Suite 7
Geneseo, NY 14454-1242

Mailing address

PO Box 605
Geneseo, NY 14454-1117
Phone (585) 447-2775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000031 NY Part B Supplier - Clinic/Group Practice 3577709872 Receives reassigned benefits from 1 practitioner
Practice locations: Geneseo, NY

National Provider Directory

National Provider Directory

Locations

131 Main St
Ste 7
Geneseo, NY 14454
Phone (585) 447-2775

72 E South St
Geneseo, NY 14454
Phone (585) 447-2775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1881837391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541117",
            "telephone_number": "585-447-2775",
            "fax_number": "585-286-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST.",
            "address_2": "SUITE 7",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541242",
            "telephone_number": "585-447-2775",
            "fax_number": "585-286-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE CHIROPRACTIC & ATHLETIC TRAINING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-447-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ATC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "X011060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.