Eun Jung Lee, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028421 Issued in NY

Practice address

15015 41St Ave
Flushing, NY 11354-4917

Phone

(718) 321-8522

Fax

(718) 321-8524

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1467712620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 BARCLAY AVE",
            "address_2": "APT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551990",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544917",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN JUNG",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "028421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David H Lee, MD
• Edward E. Lee, M.D.
• Erica Lee, LMSW
• Eun A Lee
• Eun Joo Lee, MENTAL HEALTH COUNSE
• Euna Lee, M.D.
• Eunmyung Lee, NP
• Frank B Lee, PHYSICIAN ASSISTANT
• Franklin Lee, M.D.
• Gabriel S Lee

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.