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

Sewon Lee, DPT

Individual provider Physical Therapist · NPI 1104412139

Sewon Lee, DPT is a Physical Therapist in Private Practice in Burtonsville, Maryland. Qualified in 2020, 6 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Maryland.

Years since qualifying
6
Licensed in
IL, MD
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15630 Old Columbia Pike Ste F
Burtonsville, MD 20866-1617
Phone: (240) 559-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 526 E Jefferson St Ste 110, Rockford, IL 61107-4076 — (815) 997-5500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30487 (MD)
Physical Therapist Taxonomy 225100000X · Licence 070-025543 (IL)

Record details

NPI number1104412139
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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