Sport Rehab Chiro P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPORT REHAB CHIRO P.C.

Doing business as

Sport Rehab Chiro P.C.

Practice address

204 Tom Hunter Rd
Fort Lee, NJ 07024-5302

Phone

(201) 220-2245

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lee, DCNPI 1467114041

Title

Owner

Phone

(201) 220-2245

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sport Rehab Chiro P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Richard Lee, DC

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1467114041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1982366571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245302",
            "telephone_number": "201-220-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245302",
            "telephone_number": "201-220-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT REHAB CHIRO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-220-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION NUMBER",
            "identifier": "0450681085",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sport Rehab Chiro P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spa Dew (Dew Beauty & Wellness)
• Claudette K Spenst, MSW., LSW
• Spine Care Chiropractic Center, P.C.
• Spinecare Chiropractic Clinic, PC
• Spini Sol Levante PC (ishitani chiropractic)
• Stacy Trister LLC (Visiting Angels of Fort Lee)
• Star Pharmacy LLC
• Stephen J. Tsoucaris, DMD, PC
• Steven a Bernstein DPM PC
• Maria Stratigis, RN

• Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.