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

Youngchan Lee

Individual provider Acupuncturist · NPI 1053962936

Youngchan Lee is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
11
Licensed in
CA, FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3591 Kernan Blvd S Apt 816
Jacksonville, FL 32224-4674
Phone: (808) 258-5530
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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 PT41344 (FL)
Acupuncturist Taxonomy 171100000X · Licence AC18612 (CA)

Record details

NPI number1053962936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESMay 4, 2024
Certification dateMay 4, 2024
Mailing address3591 Kernan Blvd S Apt 816, Jacksonville, FL 32224-4674

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 Yes — accepts the Medicare-approved amount

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