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

Luke Jin Lee, OT

Individual provider Occupational Therapist · NPI 1962246462

Luke Jin Lee, OT is an Occupational Therapist in Private Practice in Fishers, Indiana. Qualified in 2023, 3 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
3
Licensed in
IN, MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

8235 E 116th St Ste 220
Fishers, IN 46038-1554
Phone: (317) 813-2100
Fax: (317) 813-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31008403A (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 520103665 (MI)

Record details

NPI number1962246462
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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