Sejong Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008581 Issued in GA

Legal business name

SEJONG PHYSICAL THERAPY, INC

Practice address

1325 Satellite Blvd NW
Ste.1302
Suwanee, GA 30024-4651

Phone

(678) 206-0808

Fax

(678) 206-0809

NPI assigned

Sep 17, 2007

Last updated

Aug 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sae J Kim, P.T

Title

Ceo/Owner

Phone

(678) 206-0808

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sejong Kim, PT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1619079845
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1215123955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW",
            "address_2": "STE.1302",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "678-206-0808",
            "fax_number": "678-206-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW",
            "address_2": "STE.1302",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "678-206-0808",
            "fax_number": "678-206-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEJONG PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-206-0808",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360461626B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Yeager Scott, LPC
• Shequanta Myeshia Scott
• Dave Jason Seecharan, M.D.
• Ana R. Segarra-Brechtel, MD
• Sejong Physical Therapy Inc (Sejong Medical Supply)
• Jennifer Jill Sellars, CCC-SLP
• Olivia Semrau
• Senior Care Plus Limited Liability Company (Senior Care Plus)
• Senior Home Care Group LLC
• Senior Respect, LLC (Seniors Helping Seniors)

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.