JL Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015671 Issued in NY

Legal business name

JL PHYSICAL THERAPY PC

Practice address

421 7TH Ave Ste 1210
New York, NY 10001-2024

Phone

(646) 476-7950

Fax

(646) 476-7935

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joonseo Lee, PHYSICAL THERAPISTNPI 1487690772

Title

President

Phone

(646) 476-7950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joonseo Lee, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1487690772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1346677234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 7TH AVE STE 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012024",
            "telephone_number": "646-476-7950",
            "fax_number": "646-476-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 7TH AVE STE 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012024",
            "telephone_number": "646-476-7950",
            "fax_number": "646-476-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOONSEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-476-7950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.