Active NPI
Dae Young Cheong, PT
- Physical Therapist
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42274
- Practice address
- 21756 State Road 54 Ste 102
Lutz, FL 33549-2905 - Phone
- (813) 279-6234
- Fax
- (888) 492-7854
- NPI assigned
- May 31, 2022
- Last updated
- Mar 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4974 | MN | |
| Physical Therapist | 225100000X | PT42274 | FL | Primary |
| Physical Therapist | 225100000X | 12791 | MN |
Addresses
Primary practice location
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Mailing address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone (813) 279-6234
Other practice location 1
3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21756 State Rd
54 Suite 102
Lutz, FL 33549-2905
Phone (813) 279-6234
601 7TH St S
St Petersburg, FL 33701-4708
Phone (727) 893-6234
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.09 of 100
- Quality
- 96.62
- Improvement activities
- 40
- Cost
- 79.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42274 | FL | MD | Physical Therapist |
| 12791 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activept Corp | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Optimal Performance and Physical Therapies Lakeland, LLC | Physical Therapist | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Optimal Performance and Physical Therapies-Lutz, LLC | Physical Therapist | Current | Accepting new patients |
| Pursuitpt LLC | Physical Therapist | Past | Accepting new patients |
| Ohi West Medical Group, LLC | Past | Accepting new patients |
Locations
4525 S Florida Ave
Ste 25
Lakeland, FL 33813
Phone (863) 812-4065
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
3100 19th St NW
Ste 200
Rochester, MN 55901
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Lutz, FL
- NPI 1821429911
Physical Therapist
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Physical Therapist
- Lakeland, FL
- NPI 1508378290
-
- Physical Therapy Clinic/Center
- Rochester, MN
- NPI 1124205604
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
dba Bayfront Health St. Petersburg Medical Group Urgent Care
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1619583184
-
dba PursuitPT
- Physical Therapy Clinic/Center
- Crown Point, IN
- NPI 1225623887
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1265171086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905",
"telephone_number": "813-279-6234",
"fax_number": "888-492-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905",
"telephone_number": "813-279-6234",
"fax_number": "888-492-7854"
}
],
"practiceLocations": [
{
"address_1": "3100 19th St NW Ste 200",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559016606",
"country_code": "US",
"telephone_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEONG",
"first_name": "DAE YOUNG",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4974",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42274",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.