Active NPI
Kyu Chul Lee, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1871094516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022265
- Practice address
- 3059 Brighton 7TH St
Brooklyn, NY 11235-6455 - Phone
- (718) 676-5252
- NPI assigned
- Feb 27, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022265 | NY | Primary |
Addresses
Primary practice location
3059 Brighton 7TH St
Brooklyn, NY 11235-6455
Mailing address
161 W 61St St Apt 4H
New York, NY 10023-7401
Phone (347) 720-4320
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 |
|---|---|---|---|
| 022265 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Occupational Therapy PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1518026756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1871094516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W 61ST ST APT 4H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237401",
"telephone_number": "347-720-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3059 BRIGHTON 7TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356455",
"telephone_number": "718-676-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYU CHUL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.