Eugene Jang, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24615 Issued in FL

Practice address

2601 S Bayshore Dr
7TH FL Garage Level
Coconut Grove, FL 33133-5417

Phone

(646) 342-8214

NPI assigned

Sep 30, 2010

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

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.

• Prime Sports Physical Therapy

  • Physical Therapist
  • Coconut Grove, FL
  • NPI 1396054896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1245549732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SW 1ST AVE",
            "address_2": "# 163",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304520",
            "telephone_number": "646-342-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "7TH FL GARAGE LEVEL",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "646-342-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L. Hynes, PSY.D.
• Innovative Pediatric Learning Center of Miami
• Integrative Sports Medicine and Chiropractic LLC
• Ipod Care LLC
• Claudia Iturregui, RBT
• Laura Marcela Jaramillo
• John Jack Hupert, LMFT, PLLC
• Ann Mary John, M.D.
• Tracy Jones, MSW
• Doreen A. Kennedy, M.A.

• Physical Therapist in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.