Jin Lee

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2134230 Issued in TX

Practice address

404 Racquet Club Blvd
Bedford, TX 76022-6408

Phone

(305) 668-2738

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1194364505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAMPICO ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623947",
            "telephone_number": "469-952-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RACQUET CLUB BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226408",
            "telephone_number": "305-668-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2134230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Le, PHARM. D.
• Phu Hoang Le, D.D.S.
• Tri Cao Le, M.D.
• Tu Khac Le, M.D.
• Genesis Lee, MSW
• Yvonne Tsui Lee, MD
• Emily Legendre, DC
• Ann Marie Leist, PSY.D.
• Let It Rain Psychotherapy, PLLC
• Christina Yee Yen Leung, MD

• Physical Therapy Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.