Active NPI
Sijin Lee, DPT
- Physical Therapist
- Miami Beach, FL
National Provider Identifier
1265079891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35281
- Practice address
- 4016 Chase Ave
Miami Beach, FL 33140-3421 - Phone
- (305) 538-6500
- NPI assigned
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35281 | FL | Primary |
Addresses
Primary practice location
4016 Chase Ave
Miami Beach, FL 33140-3421
Mailing address
1919 SE 10TH Ave Apt 8118
Fort Lauderdale, FL 33316-3191
Phone (954) 400-9096
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35281 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1265079891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 SE 10TH AVE APT 8118",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333163191",
"telephone_number": "954-400-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 CHASE AVE",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403421",
"telephone_number": "305-538-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SIJIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.