Provider Demographics
NPI:1437208956
Name:LEES REHABILITATION SERVICES INC
Entity Type:Organization
Organization Name:LEES REHABILITATION SERVICES INC
Other - Org Name:HARRISON PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-367-9299
Mailing Address - Street 1:1149 STONE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-2763
Mailing Address - Country:US
Mailing Address - Phone:513-367-9299
Mailing Address - Fax:513-367-1704
Practice Address - Street 1:1149 STONE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2763
Practice Address - Country:US
Practice Address - Phone:513-367-9299
Practice Address - Fax:513-367-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT3431225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLE9360141Medicare ID - Type Unspecified