Youngchan Lee

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41344 Issued in FL

Practice address

3591 Kernan Blvd S Apt 816
Jacksonville, FL 32224-4674

Phone

(808) 258-5530

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926

  Physical Therapist

  Medicare reassignment NPD
• Innovative Therapy Solutions Inc

  • Physical Therapist
  • Ponte Vedra Beach, FL
  • NPI 1891483202
  Medicare reassignment NPD
• John Goetze Physical Therapy, Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1942294640
  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
  • NPI 1447012208

  Physical Therapist

  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1053962936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 KERNAN BLVD S APT 816",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244674",
            "telephone_number": "808-258-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 KERNAN BLVD S APT 816",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244674",
            "telephone_number": "808-258-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNGCHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee, MD
• William Dewey Lee III, PA
• Won Lee
• Yeonsoo Sara Lee, MD
• Young H Lee, D.M.D.
• Lee'S Love and Care LLC
• Napat Leeaphorn, M.D.
• Deanna A Leedom, CRNA
• Natalie Leedy, PHD, PSYD
• Mary Leen, ARNP

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.