|Provider Name||JENNIFER SOYOUNG LEE RPT|
|Provider Location Address||1608 LEMOINE AVE STE 202 FORT LEE, NJ 07024|
|Provider Mailing Address||464 HUDSON TER STE 204 ENGLEWOOD CLIFFS, NJ 07632|
|NPI Entity Type||Individual|
|Medical School Name||OTHER|
|Is Sole Proprietor?||Yes|
|Is Organization Subpart?||N/A|
|Last Update Date||10-20-2020|
JENNIFER SOYOUNG LEE RPT
1608 LEMOINE AVE STE 202
FORT LEE, NJ
Phone: (201) 894-5452
Fax: (201) 334-0068
JENNIFER SOYOUNG LEE RPT
464 HUDSON TER STE 204
ENGLEWOOD CLIFFS, NJ
Phone: (917) 734-5558
Fax: (201) 894-5450
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||225100000X||Respiratory, Developmental, Rehabilitative and Restorative Service Providers||Physical Therapist||019601||NY||No|
Taxonomy Description: physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.