Individual provider Active NPI

Youngju Hong, DPT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1194116996
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208606 Issued in VA
Practice address
4495 Cheshire Station PLZ
Woodbridge, VA 22193-2226
Phone
(571) 659-2540
Fax
(571) 659-2800
NPI assigned
Feb 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT871872 DC
Physical Therapist 225100000X 2305208606 VA Primary

Addresses

Primary practice location

4495 Cheshire Station PLZ
Woodbridge, VA 22193-2226

Mailing address

10424 Steeplechase Run LN
Manassas, VA 20110-6928
Phone (571) 659-2540

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
PT871872DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BMH PT PC Physical Therapist Current Accepting new patients

Locations

529 14th St NW
Ste 1206
Washington, DC 20045
Phone (202) 999-9283

Organizations & group practices 1

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": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1194116996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 STEEPLECHASE RUN LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201106928",
            "telephone_number": "571-659-2540",
            "fax_number": "571-659-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 CHESHIRE STATION PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932226",
            "telephone_number": "571-659-2540",
            "fax_number": "571-659-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "YOUNGJU",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871872",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.