Individual provider Active NPI

Suchul Lee, P.T.

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1831303080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7958 Issued in CO
Practice address
2295 S Chambers Rd
J
Aurora, CO 80014-4544
Phone
(303) 632-5280
Fax
(303) 632-5271
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7958 CO Primary

Addresses

Primary practice location

2295 S Chambers Rd
J
Aurora, CO 80014-4544

Mailing address

17808 E Oakwood LN
Aurora, CO 80016-3120
Phone (303) 632-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7958COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Health Care Management LLC CurrentSince Jul 12, 2017 Accepting new patients
All in One Medical Inc Past Accepting new patients

Locations

4115 Annandale Rd
Ste 208
Annandale, VA 22003
Phone (703) 534-5049

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831303080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17808 E OAKWOOD LN",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800163120",
            "telephone_number": "303-632-5280",
            "fax_number": "303-632-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S CHAMBERS RD",
            "address_2": "J",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144544",
            "telephone_number": "303-632-5280",
            "fax_number": "303-632-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUCHUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.