Individual provider Active NPI

Hyeri Jung

  • Physical Therapist
  • Parkville, MO
National Provider Identifier
1174298376
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP054457T Issued in MO
Practice address
6264 Lewis St
Suite 100
Parkville, MO 64152
Phone
(816) 587-8001
NPI assigned
Aug 10, 2021
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 CP054457T MO Primary

Addresses

Primary practice location

6264 Lewis St
Suite 100
Parkville, MO 64152

Mailing address

3304 N 35TH St
Kansas City, KS 66104-3712
Phone (213) 505-6286

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

State licenses

LicenseStateTypeSpecialty
CP054457TMOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

830 N Columbia Center Blvd
Ste D
Kennewick, WA 99336
Phone (509) 783-3444

3807 W Court St
Pasco, WA 99301
Phone (509) 547-3725

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1174298376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 N 35TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661043712",
            "telephone_number": "213-505-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 LEWIS ST",
            "address_2": "SUITE 100",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "64152",
            "telephone_number": "816-587-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "HYERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP054457T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.