Individual provider Active NPI

Seong Chan Cho

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1063647386
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027224 Issued in NY
Practice address
13618 35TH Ave
Flushing, NY 11354-2943
Phone
(718) 463-8885
Fax
(718) 463-8884
NPI assigned
May 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027224 NY Primary

Addresses

Primary practice location

13618 35TH Ave
Flushing, NY 11354-2943

Mailing address

13618 35TH Ave
Flushing, NY 11354-2943
Phone (718) 463-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1063647386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542943",
            "telephone_number": "718-463-8885",
            "fax_number": "718-463-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542943",
            "telephone_number": "718-463-8885",
            "fax_number": "718-463-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "SEONG CHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-17",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.