Individual provider Active NPI

Heangun Yoon

  • Physical Therapist
  • South Riding, VA
National Provider Identifier
1306531678
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
230521573 Issued in VA
Practice address
24790 Meadows Farms CT
South Riding, VA 20152-3000
Phone
(703) 372-4445
Fax
(703) 957-3365
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 230521573 VA Primary

Addresses

Primary practice location

24790 Meadows Farms CT
South Riding, VA 20152-3000

Mailing address

1897 Oracle Way Apt 507
Reston, VA 20190-4842
Phone (352) 278-2453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002862 VA Practitioner - Physical Therapist in Private Practice 6507215605 Reassigns benefits to 1 organization

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
Chiron Physical Therapy of VA, LLCGroup PAC ID 3577844281, 5 clinicians

Practice addresses (Care Compare)

24790 Meadows Farms CT
South Riding, VA 20152-4144
Phone (703) 372-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230521573VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiron Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 6, 2023 Accepting new patients
Chiron Diagnostics, LLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients

Locations

24790 Meadows Farms Ct
South Riding, VA 20152
Phone (703) 372-4445

Organizations & group practices 2

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1306531678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 ORACLE WAY APT 507",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904842",
            "telephone_number": "352-278-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24790 MEADOWS FARMS CT",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201523000",
            "telephone_number": "703-372-4445",
            "fax_number": "703-957-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "HEANGUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "230521573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.