Sang Eun Lee, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00889900 Issued in NJ

Practice address

10 Healthy Way
Ellenville, NY 12428

Phone

(845) 210-3035

Fax

(845) 210-3039

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sang.lee.2@13746.direct.athenahealth.com

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1770537623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-210-3035",
            "fax_number": "845-210-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEALTHY WAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "12428",
            "telephone_number": "845-210-3035",
            "fax_number": "845-210-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "EUN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036387-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00889900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gay Kuehnel-Hisatake, LCSWR
• Smita Sinha Kumar, MD
• Laura Kyvik
• Frank Lancellotti, MD
• Christina Langan-Heim, LCSW
• Lynn Leibowitz-Whitehead, LMSW
• Alondra Lerebours-Onate, MD
• Donna Lewis
• Light Your Pathway LLC
• Anna Linberg, PHARM.D

• Physical Therapist in Ellenville, NY
• Providers in Ellenville, 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 Mar 27, 2017; 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.