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

Kyoungtae Lee

Individual provider Physical Therapist · NPI 1912449547

Kyoungtae Lee is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2015, 11 years ago. Licensed in Delaware and New York.

Years since qualifying
11
Licensed in
DE, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

370 Lexington Ave Rm 312
New York, NY 10017-6564
Phone: (212) 286-9800
Fax: (212) 286-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041494-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence J10003243 (DE)

Record details

NPI number1912449547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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