Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaeyoung Lee

Individual provider Physical Therapist · NPI 1396238523

Jaeyoung Lee is a Physical Therapist in Private Practice in Fresh Meadows, New York. Qualified in 2013, 13 years ago. Works from 3 locations. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2018

Practice location Address checks out

7019 Parsons Blvd
Fresh Meadows, NY 11365-3049
Phone: (516) 203-8222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6711 164th St, Fresh Meadows, NY 11365-3162 — (917) 293-8329
  • 8829 Francis Lewis Blvd, Queens Village, NY 11427-2243 — (917) 293-8329

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039869 (NY)

Record details

NPI number1396238523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address7019 Parsons Blvd, Fresh Meadows, NY 11365-3049

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Fresh Meadows