Jaekwan Lee Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JAEKWAN LEE PHYSICAL THERAPY PC

Practice address

4362 162ND St Apt 2
Flushing, NY 11358-3499

Phone

(929) 362-7708

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Jaekwan LeeNPI 1417512203

Title

President

Phone

(929) 362-7708

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaekwan Lee

  • Physical Therapist
  • Flushing, NY
  • NPI 1417512203
  NPD Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1578299756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 162ND ST APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 162ND ST APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583499",
            "telephone_number": "929-362-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEKWAN LEE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEKWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-362-7708"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Jadallah, MD
• Neisha A Jadoonanan, PT
• Jae Hong Min, M.D.,P.C.
• Jae Il Pharmacy Inc
• Jaeho Shin Chiropractic, PC
• Jaesae Acupuncture PC
• Amir K Jaffer, MD
• Ailya Batool Jafri
• Dana Jaggessarsingh, MD
• Tina Anjali Jagtiani, DO

• 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 Jul 28, 2022; 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.