Kyoungtae Lee

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041494-1 Issued in NY

Practice address

370 Lexington Ave RM 312
New York, NY 10017-6564

Phone

(212) 286-9800

Fax

(212) 286-9801

NPI assigned

Nov 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Movement Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1053882613
  Medicare reassignment Authorized official
• Midtown Chiropractic and Physical Therapy PLLC

  • Chiropractor
  • New York, NY
  • NPI 1629958012
  NPD Authorized official
• Ny Young Physical Therapy

  • Physical Therapist
  • Flushing, NY
  • NPI 1093270639
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1912449547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE RM 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176564",
            "telephone_number": "212-286-9800",
            "fax_number": "212-286-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE RM 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176564",
            "telephone_number": "212-286-9800",
            "fax_number": "212-286-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYOUNGTAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10003243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lee, D.O.
• Kristina Lee
• Kwangyu Lee, PH.D.
• Kwok-Man Lee, M.D.
• Kwun Kau Lee, OPTICIAN
• Kyung Hwa Lee
• Kyung Min Lee, MD
• Kyunghee Lee
• Kyunghyun Lee
• Kyungjun Lee, DPT

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.