Individual provider Active NPI

Heewon Lee

  • Physical Therapist
  • Rye, NY
National Provider Identifier
1790372621
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042659 Issued in NY
Practice address
411 Theodore Fremd Ave Ste 104
Rye, NY 10580-1411
Phone
(914) 921-6061
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042659 NY Primary

Addresses

Primary practice location

411 Theodore Fremd Ave Ste 104
Rye, NY 10580-1411

Mailing address

4332 160TH St FL 3
Flushing, NY 11358-3150
Phone (631) 946-1933

Other practice location 1

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030

Other practice location 2

4332 160th St Fl 3
Flushing, NY 11358-3150
Phone (631) 946-1933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128001387 NY Practitioner - Physical Therapist in Private Practice 0345618245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

4701 Queens Blvd
Sunnyside, NY 11104-1660
Phone (718) 729-5924

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Affinity Rehabilitation LLP CurrentSince May 14, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jul 29, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Montefiore Medical Center CurrentSince Jul 29, 2024 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Excellent Choice Physical Therapy, P.C. Physical Therapist PastSince Jan 1, 2003 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

5961 Palisade Ave
Bronx, NY 10471
Phone (646) 809-1015

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

411 Theodore Fremd Ave
Ste 104
Rye, NY 10580
Phone (914) 921-6061

4701 Queens Blvd
Sunnyside, NY 11104
Phone (718) 482-8900

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Networks

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

Organizations & group practices 8

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1790372621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 160TH ST FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583150",
            "telephone_number": "631-946-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 THEODORE FREMD AVE STE 104",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801411",
            "telephone_number": "914-921-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4332 160th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113583150",
            "country_code": "US",
            "telephone_number": "631-946-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "HEEWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.