Individual provider Active NPI

Sean H.W Lee, P.T

  • Physical Therapist
  • Valparaiso, IN
National Provider Identifier
1841407277
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008872A Issued in IN
Practice address
3405 Campbell St
Valparaiso, IN 46385-2363
Phone
(219) 462-1023
NPI assigned
May 16, 2007
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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 05008872A IN Primary

Addresses

Primary practice location

3405 Campbell St
Valparaiso, IN 46385-2363

Mailing address

559 Meadow LN
Valparaiso, IN 46385-2928
Phone (219) 531-4358

Other practice location 1

9239 Broadway
Merrillville, IN 46410-7046
Phone (219) 703-9525

Other practice location 2

2300 173rd Street
FRC Room 143
Hammond, IN 46323
Phone (219) 989-3105

Other practice location 3

6625 W Lincoln Hwy Lowr Level
Crown Point, IN 46307-9678
Phone (219) 440-5360

Other practice location 4

1201 Cumberland Xing
Valparaiso, IN 46383-2192
Phone (219) 286-3890

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
05008872AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy LLC Physical Therapist CurrentSince Jul 5, 2016 Accepting new patients
Community Care Network Inc CurrentSince Jan 21, 2019 Accepting new patients
Lakeshore Bone & Joint Institute, PC CurrentSince Jan 21, 2019 Accepting new patients
Sun and Moon Clinic Inc Past Accepting new patients

Locations

601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401

2300 173rd St
Rm 143
Hammond, IN 46323
Phone (219) 989-3105

8695 Connecticut St
Ste A
Merrillville, IN 46410
Phone (219) 525-4815

9239 Broadway
Merrillville, IN 46410
Phone (219) 736-1010

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1201 Cumberland Xing
Valparaiso, IN 46383
Phone (219) 286-3890

2111 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 242-8672

Organizations & group practices 4

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1841407277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MEADOW LN",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852928",
            "telephone_number": "219-531-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 CAMPBELL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852363",
            "telephone_number": "219-462-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9239 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107046",
            "country_code": "US",
            "telephone_number": "219-703-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 173rd Street",
            "address_2": "FRC Room 143",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "46323",
            "country_code": "US",
            "telephone_number": "219-989-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6625 W Lincoln Hwy Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079678",
            "country_code": "US",
            "telephone_number": "219-440-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Cumberland Xing",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832192",
            "country_code": "US",
            "telephone_number": "219-286-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEAN",
        "middle_name": "H.W",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008872A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.