Individual provider Active NPI

Dongguen Lee

  • Physical Therapist
  • Little Neck, NY
National Provider Identifier
1356054456
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049814 Issued in NY
Practice address
25507 60TH Ave FL 2
Little Neck, NY 11362-2128
Phone
(646) 206-0920
NPI assigned
Jan 4, 2023
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049814 NY Primary

Addresses

Primary practice location

25507 60TH Ave FL 2
Little Neck, NY 11362-2128

Mailing address

25507 60TH Ave FL 2
Little Neck, NY 11362-2128
Phone (646) 206-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230116000610 NY Practitioner - Physical Therapist in Private Practice 8729459508 Reassigns benefits to 3 organizations
Practice locations: Little Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Physical and Occupational Therapy Services, PLLCGroup PAC ID 6305144775, 48 clinicians

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 150
Great Neck, NY 11021-5325
Phone (516) 466-9730

2579 Ocean Ave
FL 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049814NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Oct 17, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Sep 16, 2025 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Reddy Care Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Apr 19, 2023 Accepting new patients
Reddy Care Physical Therapy PC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients

Locations

20832 Cross Island Pkwy
#32
Bayside, NY 11360
Phone (718) 224-8480

20832 Cross Island Pkwy
Ste 32
Bayside, NY 11360
Phone (516) 466-7723

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

800 E Gate Blvd
Garden City, NY 11530

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 27
Great Neck, NY 11021

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

939 Port Washington Blvd
Port Washington, NY 11050
Phone (516) 441-5081

45 Channel Dr
Prt Washingtn, NY 11050
Phone (516) 365-2929

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Networks

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1356054456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 60TH AVE FL 2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622128",
            "telephone_number": "646-206-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25507 60TH AVE FL 2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622128",
            "telephone_number": "646-206-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONGGUEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.