Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAE KYUNG LEE OTR/L
NPI 1407511009
Occupational Therapist in Jackson Heights, NY

Active since November 08, 2021Accepts Medicare Assignment
7206 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372(718) 424-2788 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Nov 8, 2021 (2 updates tracked since 2021).

About Tae Kyung Lee Otr/l NPPES

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

TAE KYUNG LEE OTR/L (NPI 1407511009) is an individual occupational therapist in Jackson Heights, New York, licensed in New York (025464) and active in the NPI registry since November 2021. She maintains a secondary practice location in Bronx and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407511009
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameTAE KYUNG LEECredential: OTR/L
Location Address7206 NORTHERN BLVDJackson Heights, NY 11372-1049
Mailing Address35 Valley Ave Unit 104Elmsford, NY 10523-3023 · (401) 714-9481
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 8, 2021
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1407511009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 025464
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
7206 NORTHERN BLVD, Jackson Heights, NY 11372

Secondary Practice Location 1

Location 157 W Burnside AveBronx, NY 10453-4038 · Phone (718) 716-4400 ext. 2517 · Fax (718) 924-2678

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tae Kyung Lee Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305222712
PECOS Enrollment IDI20221007000425

Medicare Billing Reassignments

2

Medicare enrollment records show Tae Kyung Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1227 EDWARD L GRANT HWY, BRONX MEDICAL AND WELLNESS CENTER
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Psychiatry & Neurology (Neurology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Family Medicine (Sports Medicine)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Medicine & Rehabilitation (Sports Medicine)
7206 NORTHERN BLVD, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Radiology (Diagnostic Radiology)
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Physical Therapist
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372
Neuromusculoskeletal Medicine, Sports Medicine
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Kyung Lee's NPI number?

The NPI number for Tae Kyung Lee is 1407511009. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Tae Kyung Lee located?

Tae Kyung Lee practices at 7206 Northern Blvd, Jackson Heights, NY 11372. The listed phone number is (718) 424-2788.

What is Tae Kyung Lee's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Tae Kyung Lee enrolled in Medicare?

Yes. Tae Kyung Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tae Kyung Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Kyung Lee reassigns Medicare benefits to 2 organizations: New York Queens Medicine And Surgery, P.C. (Flushing, NY) and Morris Heights Health Center, Inc. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tae Kyung Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tae Kyung Lee was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.