Active NPI
Theresa Jaehee Hwang, D.P.T.
- Physical Therapist
- Scarsdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022048
- Practice address
- 1075 Central Park Ave Ste 407
Scarsdale, NY 10583-3232 - Phone
- (914) 214-9220
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022048 | NY | Primary |
Addresses
Primary practice location
1075 Central Park Ave Ste 407
Scarsdale, NY 10583-3232
Mailing address
1075 Central Park Ave Ste 407
Scarsdale, NY 10583-3232
Phone (914) 214-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05238555 | Medicaid | NY |
Other names 1
- Theresa Jaehee Fowler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Southern California Keck School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1075 Central Park Ave
Suite 407
Scarsdale, NY 10583-3232
Phone (914) 214-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022043 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Sports and Spinal Physical Therapy, PLLC | Current | Accepting new patients | |
| Edgemont Physical Therapy, P.C. | Current | Accepting new patients | |
| Recoup Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Christine L Spryer | Physical Therapist | Past | Accepting new patients |
Locations
838 Scarsdale Ave
Scarsdale, NY 10583
Phone (914) 722-9200
455 Central Park Ave
Scarsdale, NY 10583
Phone (914) 574-6494
1075 Central Park Ave
Ste 407
Scarsdale, NY 10583
Phone (914) 214-9220
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Scarsdale, NY
- NPI 1720541998
Physical Therapist
-
- Physical Therapy Clinic/Center
- Scarsdale, NY
- NPI 1982156675
-
- Physical Therapy Clinic/Center
- Scarsdale, NY
- NPI 1417146614
-
- Physical Therapy Clinic/Center
- Hermosa Beach, CA
- NPI 1982636635
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1023033289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE STE 407",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833232",
"telephone_number": "914-214-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CENTRAL PARK AVE STE 407",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833232",
"telephone_number": "914-214-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANG",
"first_name": "THERESA",
"middle_name": "JAEHEE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05238555",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "FOWLER",
"middle_name": "JAEHEE",
"credential": "D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.