Active NPI
Seonjoong Lee
- Physical Therapist
- New York, NY
National Provider Identifier
1003546540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040285
- Practice address
- 150 E 55TH St FRNT 1
New York, NY 10022-4514 - Phone
- (201) 815-3969
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040285 | NY | Primary |
Addresses
Primary practice location
150 E 55TH St FRNT 1
New York, NY 10022-4514
Mailing address
251 W 74TH St Apt 7a
New York, NY 10023-2140
Phone (201) 815-3969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040285 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grit Core Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Grit Life Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Lenox Hill Pain Management and Spine PLLC | Current | Accepting new patients | |
| Grit Wellness Rehabilitation Physical Therapy P.C. | Current | Accepting new patients | |
| Karan Johar, MD, PLLC | Past | Accepting new patients |
Locations
4212 164th St
Fl 1
Flushing, NY 11358
Phone (718) 701-5500
13338 41st Rd
Ste CS8
Flushing, NY 11355
Phone (718) 321-0886
150 E 55th St
Frnt 1
New York, NY 10022
Phone (201) 815-3969
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- New York, NY
- NPI 1063865111
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1497515621
Physical Therapist
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1437917440
Physical Therapist
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1457059859
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1063836211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755993600000",
"number": "1003546540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 W 74TH ST APT 7A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232140",
"telephone_number": "201-815-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E 55TH ST FRNT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224514",
"telephone_number": "201-815-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEONJOONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2025-08-24",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.