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

Su Jin Lee

Individual provider Physical Therapist · NPI 1427455591

Su Jin Lee is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2012, 14 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2014
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Practice location Address checks out

11201 Galleria Ave Ste 105
Raleigh, NC 27614-6699
Phone: (919) 670-3350
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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 P19946 (NC)

Record details

NPI number1427455591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2014
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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