Active NPI
Andrew Sungjae Lee, DPT
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1306084504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32102
- Practice address
- 345 S Lake Ave
Suite 201
Pasadena, CA 91101-5030 - Phone
- (626) 744-9222
- Fax
- (626) 744-9229
- NPI assigned
- Jan 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32102 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 32102 | CA |
Addresses
Primary practice location
345 S Lake Ave
Suite 201
Pasadena, CA 91101-5030
Mailing address
PO Box 60498
Pasadena, CA 91116-6498
Phone (626) 744-9222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32102 | CA | MD | Pharmacist |
Interoperability endpoints
- andrew.lee.p1@direct.lakeside.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1306084504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60498",
"city": "PASADENA",
"state": "CA",
"postal_code": "911166498",
"telephone_number": "626-744-9222",
"fax_number": "626-744-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 S LAKE AVE",
"address_2": "SUITE 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015030",
"telephone_number": "626-744-9222",
"fax_number": "626-744-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANDREW",
"middle_name": "SUNGJAE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-26",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32102",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "32102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.