KYOUNGTAE LEE
NPI 1912449547
Physical Therapist in New York, NY
About Kyoungtae Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYOUNGTAE LEE (NPI 1912449547) is an individual physical therapist in New York, New York, licensed in New York (041494-1) and active in the NPI registry since November 2016. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyoungtae Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyoungtae Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10017
NEW YORK, NY 10017
NEW YORK, NY 10017
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 Kyoungtae Lee's NPI number?
The NPI number for Kyoungtae Lee is 1912449547. It was assigned to this individual provider in the NPPES registry on November 14, 2016.
Where is Kyoungtae Lee located?
Kyoungtae Lee practices at 370 Lexington Ave Rm 312, New York, NY 10017. The listed phone number is (212) 286-9800.
What is Kyoungtae Lee's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kyoungtae Lee enrolled in Medicare?
Yes. Kyoungtae Lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyoungtae Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyoungtae Lee reassigns Medicare benefits to Active Movement Physical Therapy PC (New York, NY). The 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 Kyoungtae 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 Kyoungtae Lee was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.