Individual provider Active NPI

Dae Young Cheong, PT

  • Physical Therapist
  • Lutz, FL
National Provider Identifier
1265171086
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42274 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220613001086 MN Practitioner - Physical Therapist in Private Practice 0840678314 Reassigns benefits to 1 organization
I20241113001385 FL Practitioner - Physical Therapist in Private Practice 0840678314 Reassigns benefits to 3 organizations

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
Optimal Performance and Physical Therapies-Lutz LLCGroup PAC ID 5698904746, 3 clinicians
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

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 100Reported as group
Quality
96.62
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42274FLMDPhysical Therapist
12791MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Jun 6, 2022 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Optimal Performance and Physical Therapies Lakeland, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Optimal Performance and Physical Therapies-Lutz, LLC Physical Therapist CurrentSince Jun 29, 2025 Accepting new patients
Pursuitpt LLC Physical Therapist PastSince Mar 7, 2021 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.

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.

Verify at the official NPI Registry.