Jonathan Lee, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036125-1 Issued in NY

Practice address

897 Broadway
Lower Level
New York, NY 10003-1205

Phone

(212) 673-7878

NPI assigned

May 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1063857910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031205",
            "telephone_number": "212-673-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 BROADWAY",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031205",
            "telephone_number": "212-673-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036125-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lee, MSW
• John Dongyeop Lee, PH.D., L.AC., OTR/L.
• John Richard Lee, MD
• John S Lee, DPM
• Johnny Lee, M.D.
• Jonathan H Lee, MD
• Jonathan Woo Lee, M.D.
• Jong Lee
• Jong in Lee, MD
• Jongeun Lee, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.