Seungyoul Yi, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024761 Issued in NY

Practice address

232 Broad Ave
FRNT 2a
Palisades Park, NJ 07650-1577

Phone

(201) 500-5571

NPI assigned

Dec 21, 2007

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sam Yi Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

• Advanced Care Physical Therapy, P.C.

  dba Palisades Physical Therapy

  • Physical Therapist
  • Palisades Park, NJ
  • NPI 1699374595
  Medicare reassignment NPD Authorized official
• Ys Physical Therapy / Best Pain Clinic

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1609125475
  NPD (past) Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1205010576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE",
            "address_2": "FRNT 2A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501577",
            "telephone_number": "201-500-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE",
            "address_2": "FRNT 2A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501577",
            "telephone_number": "201-500-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "SEUNGYOUL",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01145000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "YI",
            "credential": "RPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juliana A Vasquez, MS.ED
• Visiting Vision Services
• Caroline Walz, MS, LAT, ATC
• Boghos Yedikian, PHARMD
• Yein Dental Group
• Yonsei PMC Pain Management P C
• Jamie Yoo, BCBA
• Jinchan Yoo, PHARMD
• Minjeung Yoo, L.AC.
• Sookie Young Youm, CRNA

• Physical Therapist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Physical Therapist in New Jersey

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