Individual provider Active NPI

Julian Christian Lee

  • Physical Therapist
  • New York, NY
National Provider Identifier
1366164469
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2804 Broadway
New York, NY 10025-2236
Phone
(212) 222-6525
NPI assigned
Sep 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 Primary

Addresses

Primary practice location

2804 Broadway
New York, NY 10025-2236

Mailing address

1590 N Jerusalem Rd
Merrick, NY 11566-1210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012002642 NY Practitioner - Physical Therapist in Private Practice 3870969058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians
Park North Physical Therapy, PLLCGroup PAC ID 9335238781, 8 clinicians

Practice addresses (Care Compare)

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

233 Lenox Ave
New York, NY 10027-6498
Phone (212) 222-6525

306 E 91St St
Apt 2E
New York, NY 10128-5305
Phone (516) 589-2081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049480NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy Wellness PLLC Physical Therapist CurrentSince Aug 22, 2025 Accepting new patients
Park North Physical Therapy, PLLC CurrentSince Sep 14, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Aug 22, 2025 Accepting new patients

Locations

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

2804 Broadway
New York, NY 10025
Phone (212) 222-6525

Organizations & group practices 3

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1366164469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 N JERUSALEM RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252236",
            "telephone_number": "212-222-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIAN",
        "middle_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.