Sukje Lee

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05222 Issued in KS

Practice address

2600 W Pleasant Run Rd
Lancaster, TX 75146-1114

Phone

(972) 230-8888

NPI assigned

Mar 4, 2020

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Male

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Missouri Medical College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meredith S. Tittle, P.T., LLCGroup PAC ID 9830491596, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meredith S. Tittle, P.T., LLC

  dba S2S Functional Performance

  • Physical Therapy Clinic/Center
  • Flower Mound, TX
  • NPI 1245553395

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1376178913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT RUN RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461114",
            "telephone_number": "972-230-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PLEASANT RUN RD",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461114",
            "telephone_number": "972-230-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUKJE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dion Lee, LSA
• Jonathan Buie Lee
• Larresha Lee, LVN
• Robin Lee, B.S.
• Shannon Lee, LCDC, QMHP, SAP
• Josie Viola Lemell, LPC
• Erica D Lewis
• Hung CHI Li, RPH
• Little Angels Healthcare Center PLLC
• Myisha Long, LCSW

• Physical Therapist in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.