Active NPI
Joonseo Lee, P.T.
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015671
- Practice address
- 9 E 45TH St FL 6
New York, NY 10017-2425 - Phone
- (646) 476-7950
- Fax
- (646) 479-7935
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002464 | NY | |
| Physical Therapist | 225100000X | 015671 | NY | Primary |
Addresses
Primary practice location
9 E 45TH St FL 6
New York, NY 10017-2425
Mailing address
421 7TH Ave Ste 1210
New York, NY 10001-2024
Phone (646) 476-7950
Other practice location 1
9 E 45th St Fl 6
New York, NY 10017-2425
Phone (646) 476-7950
Other practice location 2
205 W 54th St
Suite 1C
New York, NY 10019
Phone (212) 334-9117
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015617 | Other | NY | HIP |
| Q11Q51 | Other | NY | EMPIRE BCBS |
| 02298011 | Medicaid | NY | |
| 6606159 | Other | NY | GHI PPO |
| 7749253 | Other | NY | AETNA |
| P3304320 | Other | NY | OXFORD |
| N89704 | Other | NY | HEALTHNET |
| P00000061357 | Other | NY | GHI HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015671 | NY | MD | Dental Hygienist |
| 002464 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JL Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| Nypc Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
421 7th Ave
Ste 1210
New York, NY 10001
Phone (646) 476-7950
9 E 45th St
Fl 6
New York, NY 10017
Phone (212) 371-5788
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.
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Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1487690772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 7TH AVE STE 1210",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012024",
"telephone_number": "646-476-7950",
"fax_number": "646-479-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E 45TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172425",
"telephone_number": "646-476-7950",
"fax_number": "646-479-7935"
}
],
"practiceLocations": [
{
"address_1": "9 E 45th St Fl 6",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100172425",
"country_code": "US",
"telephone_number": "646-476-7950",
"fax_number": "646-479-7935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 W 54th St",
"address_2": "Suite 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10019",
"country_code": "US",
"telephone_number": "212-334-9117",
"fax_number": "212-334-9347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOONSEO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2024-06-10",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002464",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "015617",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "Q11Q51",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02298011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "6606159",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7749253",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3304320",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "N89704",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "P00000061357",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.