Jaekwan Lee
NPI 1417512203 · Physical Therapist · Flushing, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaekwan Lee is a Physical Therapist provider in Flushing, NY (NPI 1417512203).
Provider details
- NPI number
- 1417512203
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041462 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
896 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 268 | $29 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 167 | $22 |
| Application of Ultrasound, Each 15 Minutes97035 | 165 | $12 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 162 | $10 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 52 | $28 |
| Therapy Procedure Using Functional Activities97530 | 51 |
Practice location
Mailing address
Additional practice locations (1)
- 4525 162nd StFlushing, NY 11358-3279Phone: (929) 362-7708
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Jaekwan Lee's NPI number?
- Jaekwan Lee's National Provider Identifier (NPI) is 1417512203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaekwan Lee's specialty?
- Jaekwan Lee is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jaekwan Lee located?
- Jaekwan Lee's practice location on file with NPPES is 16213 46th Ave Ste 3b, Flushing, NY 11358-3698.
- What is Jaekwan Lee's phone number?
- The practice phone number listed in the NPPES registry for Jaekwan Lee is (929) 362-7708.
- Does Jaekwan Lee accept Medicare?
- Jaekwan Lee is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaekwan Lee's NPI active?
- Yes — Jaekwan Lee's NPI (1417512203) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.