Individual provider Active NPI

Sam Lee, DPT, MSPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1619328853
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040033 Issued in NY
Practice address
362 9TH St
Brooklyn, NY 11215-4673
Phone
(929) 692-6441
Fax
(347) 227-8846
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040033 NY Primary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X 040033 NY
Orthopedic Physical Therapist 2251X0800X 040033 NY

Addresses

Primary practice location

362 9TH St
Brooklyn, NY 11215-4673

Mailing address

134 Freeborn St
Staten Island, NY 10306-5804
Phone (929) 692-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180316000295 NY Practitioner - Physical Therapist in Private Practice 7719249408 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2625 E 14TH St
Suite 200
Brooklyn, NY 11235-3973
Phone (929) 692-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040033NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Therapy (OT, SLP & PT) PLLC Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
Doctor'S Medical P.C Single Specialty CurrentSince May 28, 2020 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Single Specialty CurrentSince May 20, 2018 Accepting new patients
Maimonides Faculty Practice Plan Single Specialty CurrentSince May 25, 2021 Accepting new patients
Physicare Multi Services LTD Single Specialty CurrentSince May 28, 2020 Accepting new patients
Maimonides Medical Center Orthopaedic FPP Single Specialty CurrentSince Feb 11, 2024 Accepting new patients
Rehab on Wheels OT PT PLLC Single Specialty CurrentSince Apr 6, 2018 Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Single Specialty CurrentSince May 25, 2021 Accepting new patients
First Step Resources, LLC PastSince Nov 7, 2025 Accepting new patients
Prokinetics Physical Therapy P.C. Single Specialty PastSince Jul 5, 2023 Accepting new patients

Locations

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2955 Brighton 4th St
Ste 3
Brooklyn, NY 11235
Phone (347) 524-7555

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1619328853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FREEBORN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065804",
            "telephone_number": "929-692-6441",
            "fax_number": "347-227-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154673",
            "telephone_number": "929-692-6441",
            "fax_number": "347-227-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DPT, MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040033",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "040033",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "040033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.