Active NPI
NL Physical Therapy PC
- Physical Therapist
- Fresh Meadows, NY
National Provider Identifier
1609675693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NL PHYSICAL THERAPY PC
- Practice address
- 6715K 186TH LN
Fresh Meadows, NY 11365-3667 - Phone
- (909) 312-8843
- NPI assigned
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Namjune Lee
- Title
- DPT/President
- Phone
- (909) 312-8843
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6715K 186TH LN
Fresh Meadows, NY 11365-3667
Mailing address
6715K 186TH LN
Fresh Meadows, NY 11365-3667
Phone (909) 312-8843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Fresh Meadows, NY
- NPI 1841838984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1609675693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715K 186TH LN",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653667",
"telephone_number": "909-312-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715K 186TH LN",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653667",
"telephone_number": "909-312-8843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NL PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "NAMJUNE",
"authorized_official_title_or_position": "DPT/PRESIDENT",
"authorized_official_telephone_number": "909-312-8843"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.