Active NPI
Jaeyoung Lee
- Physical Therapist
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039869
- Practice address
- 7019 Parsons Blvd
Fresh Meadows, NY 11365-3049 - Phone
- (516) 203-8222
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039869 | NY | Primary |
Addresses
Primary practice location
7019 Parsons Blvd
Fresh Meadows, NY 11365-3049
Mailing address
7019 Parsons Blvd
Fresh Meadows, NY 11365-3049
Other practice location 1
6711 164th St
Fresh Meadows, NY 11365-3162
Phone (917) 293-8329
Other practice location 2
8829 Francis Lewis Blvd
Queens Village, NY 11427-2243
Phone (917) 293-8329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7019 Parsons Blvd
Fresh Meadows, NY 11365-3049
Phone (516) 203-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 88.31
- Improvement activities
- 40
- Cost
- 69.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039869 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jyl Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Cornerstone Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
7019 Parsons Blvd
Fresh Meadows, NY 11365
Phone (347) 822-1625
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.
-
- Physical Therapist
- Fresh Meadows, NY
- NPI 1598320285
-
- Physical Therapist
- Queens Village, NY
- NPI 1821677634
-
- Occupational Therapist
- Fresh Meadows, NY
- NPI 1770373276
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1396238523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7019 PARSONS BLVD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7019 PARSONS BLVD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653049",
"telephone_number": "516-203-8222"
}
],
"practiceLocations": [
{
"address_1": "6711 164th St",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113653162",
"country_code": "US",
"telephone_number": "917-293-8329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8829 Francis Lewis Blvd",
"address_purpose": "LOCATION",
"city": "Queens Village",
"state": "NY",
"postal_code": "114272243",
"country_code": "US",
"telephone_number": "917-293-8329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JAEYOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.