Sookyung Lee, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039489 Issued in NY

Practice address

16 Gardenia LN
Ace Healthcare Resources, LLC
Hicksville, NY 11801-2009

Phone

(716) 548-9397

NPI assigned

Sep 24, 2015

Sex

Female

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Premium Medical Care, PCGroup PAC ID 6507949740, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Premium Medical Care, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1730399163
  Medicare reassignment Care Compare group NPD
• New York Medical & Diagnostic Center Inc

  • Family Medicine Physician
  • Kew Gardens, NY
  • NPI 1790771889

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1306215900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 24TH ST",
            "address_2": "2ND FL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "716-548-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GARDENIA LN",
            "address_2": "ACE HEALTHCARE RESOURCES, LLC",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012009",
            "telephone_number": "716-548-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOKYUNG",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dogyeong Lee, DDS
• Elizabeth Lee
• Henry Lee
• Jen Way Lee, LMHC
• Paul K Lee, MD
• Woo Kyung Lee
• Jessica Leeb, LMHC
• Francis Anthony Lees Jr.
• Alexis Lemanski
• Jeanie Rachel Lento

• Physical Therapist in Hicksville, NY
• Providers in Hicksville, 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 Sep 24, 2015; 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.