Wakon Lee, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4351 Issued in NE

Practice address

1600 S 48TH St
Lincoln, NE 68506-1299

Phone

(402) 481-1111

NPI assigned

Jun 24, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1750013215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S 90TH ST APT 158",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685208311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061299",
            "telephone_number": "402-481-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023780",
            "country_code": "US",
            "telephone_number": "402-481-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685880046",
            "country_code": "US",
            "telephone_number": "402-472-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WAKON",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Huy P Lee, R.N.
• Sungjae Lee
• Tina Lee
• Tracy Lee Jr.
• Tyler Allen Lee, O.D
• Elizabeth Coady Leeper, PLMHP
• Kathryn Janice Leeper, MD
• Madison Leetch
• Samantha Ann Lefebvre, DNP
• Chelsey Lynn Lefever, APRN

• Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.

Verify at the official NPI Registry.