Individual provider Active NPI

Sewon Yoo, PHYSICAL THERAPY

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1144838558
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04079-1 Issued in NY
Practice address
4528 Smart St Apt 1B
Flushing, NY 11355-2283
Phone
(929) 291-0549
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 04079-1 NY Primary

Addresses

Primary practice location

4528 Smart St Apt 1B
Flushing, NY 11355-2283

Mailing address

4528 Smart St Apt 1B
Flushing, NY 11355-2283
Phone (646) 897-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002475 NY Practitioner - Physical Therapist in Private Practice 2668873340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04079-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Physical Medicine and Rehabilitation P.C. CurrentSince Mar 30, 2021 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients

Locations

2825 3rd Ave
Apt 4
Bronx, NY 10455
Phone (212) 447-0300

10 E 39th St
Fl 3
New York, NY 10016
Phone (212) 447-0300

2 W 86th St
Apt 1
New York, NY 10024
Phone (212) 787-7994

10 E 39th St
New York, NY 10016
Phone (212) 447-0300

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1144838558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 SMART ST APT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552283",
            "telephone_number": "646-897-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 SMART ST APT 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552283",
            "telephone_number": "929-291-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "SEWON",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04079-1",
            "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 Aug 18, 2020; 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.