Active NPI
Sean H.W Lee, P.T
- Physical Therapist
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008872A
- Practice address
- 3405 Campbell St
Valparaiso, IN 46385-2363 - Phone
- (219) 462-1023
- NPI assigned
- May 16, 2007
- Last updated
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008872A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Community Care Network Inc | Current | Accepting new patients | |
| Lakeshore Bone & Joint Institute, PC | Current | 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.
-
- Physical Therapist
- Merrillville, IN
- NPI 1104239763
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Specialist
- Chesterton, IN
- NPI 1508853953
-
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
- NPI 1306877311
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.