Inhyeok Song, PT, DPT, LAC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039925 Issued in NY

Practice address

3821 150TH St FL 1
Flushing, NY 11354-4927

Phone

(347) 827-0009

NPI assigned

Mar 15, 2017

Last updated

Jun 7, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ny Modern Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1306497987
  Medicare reassignment Authorized official
• Wellness Physical Therapy & Acupuncture P.C.

  • Acupuncturist
  • Flushing, NY
  • NPI 1164276481
  NPD

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1326589987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 150TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544927",
            "telephone_number": "347-827-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 150TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544927",
            "telephone_number": "347-827-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "INHYEOK",
        "credential": "PT, DPT, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007322",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deping Song
• Elijah Song, PHARMD
• Eric Weijie Song, DDS
• Ho Yoon Song
• Hongyan Song
• Jiannan Song, MD, PHD
• Jin Song
• Jiyoun Song
• Jung Eun Song, PHARMD
• Justin Song, DO

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.