Active NPI
Cheun-Cheun Judy Lee, PT
- Physical Therapist
- Mount Kisco, NY
National Provider Identifier
1477872117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029350-1
- Practice address
- 53 Crow Hill Rd
Mount Kisco, NY 10549-3854 - Phone
- (914) 242-7439
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 029350-1 | NY | Primary |
| Pediatric Physical Therapist | 2251P0200X | 029350-1 | NY |
Addresses
Primary practice location
53 Crow Hill Rd
Mount Kisco, NY 10549-3854
Mailing address
53 Crow Hill Rd
Mount Kisco, NY 10549-3854
Phone (914) 242-7439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029350-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1477872117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CROW HILL RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493854",
"telephone_number": "914-242-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CROW HILL RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493854",
"telephone_number": "914-242-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHEUN-CHEUN",
"middle_name": "JUDY",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029350-1",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "029350-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.