Individual provider Active NPI

Woo Sok Lee

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1356836175
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294013 Issued in CA
Practice address
2065 Los Gatos Almaden Rd
San Jose, CA 95124-5417
Phone
(408) 559-9264
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 PT294013 CA Primary

Addresses

Primary practice location

2065 Los Gatos Almaden Rd
San Jose, CA 95124-5417

Mailing address

3522 S Diamond Canyon Rd
Diamond Bar, CA 91765-3494
Phone (909) 762-3035

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

LicenseStateTypeSpecialty
PT294013CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nifty After Fifty Physical Therapist Past Accepting new patients
California Emergency Physicians Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fred.lee.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1356836175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 S DIAMOND CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653494",
            "telephone_number": "909-762-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 LOS GATOS ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245417",
            "telephone_number": "408-559-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WOO SOK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.