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

Sangwon Lee

Individual provider Physical Therapist · NPI 1780459289

Sangwon Lee is a Physical Therapist in Private Practice in Pasadena, California. Qualified in 2023, 3 years ago. Practices with Sports Injury Physical Therapy Inc, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

801 S Raymond Ave
Pasadena, CA 91105-3223
Phone: (626) 356-0599
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1780459289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address801 S Raymond Ave, Pasadena, CA 91105-3223

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sports Injury Physical Therapy Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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