BRIAN THOMAS LEE (NPI# 1376866269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376866269 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS LEE |
| Credential | PT |
| Practice Address |
310 Taughannock Blvd Ithaca NY 14850-3251 |
| Practice Telephone | 6072523500 |
| Practice Fax Number | 6072523505 |
| Mailing Telephone | 6072523500 |
| Mailing Fax Number | 6072523505 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
026116-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00332729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296598 | Brian Kisub Lee | Chiropractor | 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 | 2019-03-28 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1477094795 | Brian P Lee | Dentist | 1616 Range Ct, Diamond Bar, CA 91765-4318 | 2017-03-20 |
| 1174065429 | Brian Lee | Student in an Organized Health Care Education/Training Program | 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 | 2016-11-16 |
| 1366807992 | Brian Jin Han Lee | Pharmacist | 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 | 2015-12-28 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1508267527 | Brian Lee | Dentist | Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 | 2014-09-09 |
| 1891114377 | Brian Jinho Lee | Student in an Organized Health Care Education/Training Program | 256 S Durham St, Baltimore, MD 21231-2605 | 2014-04-10 |
| 1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
| Street Address |
310 TAUGHANNOCK BLVD |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088073 | Kyle R Adams | Physical Therapist | 310 Taughannock Blvd, Suite 1c, Ithaca, NY 14850 | 2005-07-28 |
| 1609409358 | Devan Alexander Shambo | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2020-02-20 |
| 1477054732 | Kathy Eliason | Registered Nurse | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1194226456 | Jamie Balas | Health Educator | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2018-02-22 |
| 1447765706 | Joseph Ricotta | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-12-08 |
| 1225542673 | Anthony Albert Spinelli | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-21 |
| 1184136863 | Nicole Humpf | Specialist/Technologist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-11-02 |
| 1497271167 | Krista Ali Fedorchak | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-08-15 |
| 1083137418 | Christine Marie Feely | Physical Therapist | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-07-18 |
| 1598202418 | Natalie Pape | Dietitian, Registered | 310 Taughannock Blvd, Ithaca, NY 14850-3251 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412711 | Nicole Erin | Physical Therapist | 780 8th Ave Ste 300, New York, NY 10036-7000 | 2020-09-17 |
| 1457983405 | Set Physical Therapy Pllc | Physical Therapist | 211 E 43rd St Rm 1101, New York, NY 10017-4769 | 2020-02-07 |
| 1750929725 | Rock Pt Rehab | Physical Therapist | 16 E 48th St # 6f, New York, NY 10017-1017 | 2019-12-20 |
| 1821642109 | Seguia & Eleazar Physical Therapy Pllc | Physical Therapist | 403 E 91st St Fl 4, New York, NY 10128-6800 | 2019-07-25 |
| 1942853981 | Precision Physical Therapy and Sports Medicine Pllc | Physical Therapist | 1469 State Route 7, Richmondville, NY 12149 | 2019-07-18 |
| 1982260915 | Celebi & Smith Pt Pllc | Physical Therapist | 50 Austin Blvd, Commack, NY 11725-5723 | 2019-05-15 |
| 1760962062 | Michael James Hannett | Physical Therapist | 278 W 81st St, New York, NY 10024-5728 | 2018-08-16 |
| 1770079550 | Suarez Sport & Orthopedic Physical Therapy Pllc | Physical Therapist | 201 Beryl Way, Watervliet, NY 12189-2970 | 2018-07-05 |
| 1992254585 | Maurizio A Llin Pt PC | Physical Therapist | 4029 168th St, Flushing, NY 11358-2630 | 2016-09-24 |
| 1831558139 | Derek Mansfield | Physical Therapist | 145 Palisade St Ste 200, Dobbs Ferry, NY 10522 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.