Individual provider Active NPI

Youjin Lee, PT

  • Physical Therapist
  • Waldorf, MD
National Provider Identifier
1437589207
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24814 Issued in MD
Practice address
2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841
Phone
(301) 859-3304
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24814 MD Primary
Physical Therapist 225100000X 2305210323 VA

Addresses

Primary practice location

2875 Crain Hwy Ste 6
Waldorf, MD 20601-2841

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

7223 Commerce Street
Ste 40
Springfield, VA - Virginia 22150
UM
Phone (703) 935-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170110000279 DC Practitioner - Physical Therapist in Private Practice 9739460569 Reassigns benefits to 2 organizations
I20180201000701 VA Practitioner - Physical Therapist in Private Practice 9739460569 Reassigns benefits to 1 organization
I20190708001364 MD Practitioner - Physical Therapist in Private Practice 9739460569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 120
Odenton, MD 21113-1738
Phone (410) 674-1650

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24814MDMDPhysical Therapist
2305210323VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 22, 2016 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

2875 Crain Hwy
Ste 6
Waldorf, MD 20601
Phone (301) 859-3304

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

7223 Commerce St
Ste 40
Springfield, VA 22150
Phone (703) 935-1999

21453 Epicerie Plz
Ste 100
Sterling, VA 20164
Phone (703) 662-8151

Organizations & group practices 6

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1437589207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 CRAIN HWY STE 6",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012841",
            "telephone_number": "301-859-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7223 COMMERCE STREET",
            "address_2": "STE 40",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "VA - Virginia",
            "postal_code": "22150",
            "country_code": "UM",
            "telephone_number": "703-935-1999",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUJIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24814",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.