Seungye Jeon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26084 Issued in MD

Practice address

211 Perry Pkwy
Gaithersburg, MD 20877-2144

Phone

(301) 916-8540

Fax

(301) 916-8476

NPI assigned

Jan 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Canyon LLCGroup PAC ID 1052618352, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1952768673
  Medicare reassignment Care Compare group NPD
• Mosaddegh Physical Therapy Inc

  • Physical Therapist
  • Greenbelt, MD
  • NPI 1376841148

  DC

  Medicare reassignment NPD
• Behealthy Physical Therapy & Acupuncture PC

  • Physical Therapist
  • Germantown, MD
  • NPI 1194430017

  Acupuncturist

  NPD Authorized official
• Red Canyon, LLC

  • Physical Therapist
  • Martinsburg, WV
  • NPI 1841872405
  NPD
• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)
• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1134660954
  NPD (past)
• Plaza One Medical Healthcare PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1932422680
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1063835494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14447 38TH AVE APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545954",
            "telephone_number": "347-933-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PERRY PKWY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772144",
            "telephone_number": "301-916-8540",
            "fax_number": "301-916-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 61st St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204312",
            "country_code": "US",
            "telephone_number": "718-854-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEON",
        "first_name": "SEUNGYE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006017",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035505",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sujithra Jayaraj-Sudarsan, M.D.
• Marjorie Jean, LICSW
• Jeannie D. Chow O.D.,P.a.
• James Jeffers
• Jeffrey Y.H. Chung, L.L.C.
• Jeremy J. Janssen, M.D., P.C.
• Marley Jerome-Featherson, LCSW-C
• Jessa Medical Supply, Inc.
• Farjana Jewel
• Hong Ji, L.AC

• Physical Therapist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.

Verify at the official NPI Registry.