Individual provider Active NPI

Mija Lee, RPT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1033388608
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024330 Issued in NY
Practice address
15015 41St Ave FL 3
Flushing, NY 11354-4946
Phone
(718) 321-8522
Fax
(718) 321-8524
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024330 NY Primary

Addresses

Primary practice location

15015 41St Ave FL 3
Flushing, NY 11354-4946

Mailing address

15015 41St Ave FL 3
Flushing, NY 11354-4946
Phone (718) 321-8522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080802000077 NY Practitioner - Physical Therapist in Private Practice 3173697562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Rehab of Ny P.C. Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist PastSince Jul 5, 2023 Accepting new patients
K Chiropractic PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1033388608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544946",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544946",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIJA",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.