SUNGNYU SHIN LEE (P.T) – Physical Therapist, NPI 1093983660
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA
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Provider Addresses for SUNGNYU SHIN LEE (P.T)
Central Fairfax Services Inc., 6860, Commercial Drive, Edsall Park, Springfield, Fairfax, Virginia, 22151, United States
UNIT C
SPRINGFIELD, VA 221514201
Phone: (703) 626-1465
Fax: (703) 319-7972
Type: Location
3102, Mereworth Court, Oakton, Fairfax (city), Virginia, 22124, United States
OAKTON, VA 221241758
Phone: (703) 626-1465
Fax: (703) 319-7972
Type: Mailing
3102 MEREWORTH CT
OAKTON, VA 221241758
Phone: (703) 626-1465
Fax: (703) 319-7972
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120426000412 | I | Physical Therapist In Private Practice | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 195 | 25 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 176 | 25 | $0 |
| 97530 | Therapy procedure using functional activities | 176 | 25 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 175 | 25 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 143 | 21 | $0 |
Insurance plans in this area (ZIP 22151)
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