Individual provider Active NPI

Jungsoo Yoon

  • Occupational Therapist
  • Johns Creek, GA
National Provider Identifier
1144569633
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003351 Issued in GA
Practice address
10820 Abbotts Bridge Rd
#240
Johns Creek, GA 30097-5793
Phone
(678) 333-4528
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003351 GA Primary

Addresses

Primary practice location

10820 Abbotts Bridge Rd
#240
Johns Creek, GA 30097-5793

Mailing address

10820 Abbotts Bridge Rd
Ste 240
Johns Creek, GA 30097-5783
Phone (770) 232-7737

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

Practice roles

OrganizationSpecialtyStatusNew patients
Your Rehab & Pain Clinic CurrentSince Jun 5, 2013 Accepting new patients
Oh Family Medicine Group LLC CurrentSince May 16, 2021 Accepting new patients

Locations

10820 Abbotts Bridge Rd
Ste 240
Johns Creek, GA 30097
Phone (470) 223-4775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1144569633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD",
            "address_2": "STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "770-232-7737",
            "fax_number": "770-232-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD",
            "address_2": "#240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975793",
            "telephone_number": "678-333-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JUNGSOO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.