MR. PEISUN LEE PT
NPI 1396996179
Physical Therapist - Pediatrics in Queens Village, NY

Active since October 09, 2008
21939 GRAND CENTRAL PKWY, QUEENS VILLAGE, NY 11427(718) 740-7265 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Peisun Lee Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PEISUN LEE PT (NPI 1396996179) is an individual pediatrics provider in Queens Village, New York, licensed in New York (24226) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1396996179
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMR. PEISUN LEECredential: PT
Location Address21939 GRAND CENTRAL PKWYQueens Village, NY 11427-1133
Mailing Address21939 Grand Central PkwyQueens Village, NY 11427-1133 · (718) 740-7265
Sole ProprietorYes
Enumeration DateOctober 9, 2008
NPI 1396996179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 24226
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

21939 GRAND CENTRAL PKWY, Queens Village, NY 11427

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396996179, enumerated as an "individual" on October 09, 2008.

The provider is located at 21939 GRAND CENTRAL PKWY QUEENS VILLAGE, NY 11427 and the phone number is (718) 740-7265.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.