Individual provider Active NPI

Svetlana Lee

  • Orthopedic Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1043845589
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779
Phone
(718) 261-8881
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NY Primary

Addresses

Primary practice location

10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779

Mailing address

10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779
Phone (718) 261-8881

Other practice location 1

1117 Brighton Beach Ave Fl 2
Brooklyn, NY 11235-5999
Phone (718) 998-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1043845589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 QUEENS BLVD STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752779",
            "telephone_number": "718-261-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 QUEENS BLVD STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752779",
            "telephone_number": "718-261-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Brighton Beach Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112355999",
            "country_code": "US",
            "telephone_number": "718-998-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SVETLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.