Active NPI
Youjin Lee, PT
- Physical Therapist
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24814
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24814 | MD | MD | Physical Therapist |
| 2305210323 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, MD, Physical Therapist
-
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
- Physical Therapist
- Gambrills, MD
- NPI 1821546391
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
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.