Individual provider Active NPI

Justin Yoon, DPT

  • Physical Therapist
  • Brookline, MA
National Provider Identifier
1255274254
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
89381 Issued in MA
Practice address
54 Harvard St
Brookline, MA 02445-7940
Phone
(617) 262-0030
Fax
(617) 623-4224
NPI assigned
Apr 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 89381 MA Primary

Addresses

Primary practice location

54 Harvard St
Brookline, MA 02445-7940

Mailing address

54 Harvard St
Brookline, MA 02445-7940
Phone (617) 262-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417001274 MA Practitioner - Physical Therapist in Private Practice 8022584986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Sports Medicine IncGroup PAC ID 9032163985, 28 clinicians

Practice addresses (Care Compare)

54 Harvard St
Brookline, MA 02445-7940
Phone (617) 262-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89381MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Mar 14, 2026 Accepting new patients

Locations

62 Harvard St
Ste 1
Brookline, MA 02445
Phone (617) 262-0030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

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": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1255274254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457940",
            "telephone_number": "617-262-0030",
            "fax_number": "617-623-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HARVARD ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457940",
            "telephone_number": "617-262-0030",
            "fax_number": "617-623-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "89381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.