Individual provider Active NPI

Daniel Ho-Yoon Lee, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1528344108
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207136 Issued in VA
Practice address
8100 Innovation Park Dr Ste LL20
Fairfax, VA 22031-4870
Phone
(571) 472-0490
Fax
(571) 472-0491
NPI assigned
Oct 27, 2011
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207136 VA Primary

Addresses

Primary practice location

8100 Innovation Park Dr Ste LL20
Fairfax, VA 22031-4870

Mailing address

8100 Innovation Park Dr Ste LL20
Fairfax, VA 22031-4870
Phone (571) 472-0490

Other practice location 1

3914 Centreville Rd
Suite 240
Chantilly, VA 20151-3289
Phone (703) 689-2251

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1528344108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 INNOVATION PARK DR STE LL20",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314870",
            "telephone_number": "571-472-0490",
            "fax_number": "571-472-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 INNOVATION PARK DR STE LL20",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314870",
            "telephone_number": "571-472-0490",
            "fax_number": "571-472-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3914 Centreville Rd",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513289",
            "country_code": "US",
            "telephone_number": "703-689-2251",
            "fax_number": "703-689-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "HO-YOON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.