Hyeyon Im, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210306 Issued in VA

Practice address

200 E Illinois St Apt 3901
Chicago, IL 60611-6308

Phone

(312) 620-2249

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Heidi Im Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Immotion PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1679336473
  NPD Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1376994178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ILLINOIS ST APT 3901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116308",
            "telephone_number": "443-370-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ILLINOIS ST APT 3901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116308",
            "telephone_number": "312-620-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 SE Tacoma St Unit 122",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026639",
            "country_code": "US",
            "telephone_number": "971-361-9442",
            "fax_number": "888-645-6068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 19th St NW Ste 403",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363716",
            "country_code": "US",
            "telephone_number": "855-546-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6035 Burke Centre Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220153750",
            "country_code": "US",
            "telephone_number": "703-978-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 SE Tacoma St",
            "address_2": "unit 122",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97202",
            "country_code": "US",
            "telephone_number": "202-743-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "HYEYON",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210306",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "IM",
            "credential": "PT, DPT, OCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ilyas Optical Inc
• Faraz Ilyas
• Irfana Ilyas, DMD
• Christina Chae Hyun Im, DMD
• Helen Im, BCBA
• Pil Bin Im, M.D.
• Imagination Grove Play Therapy PLLC
• Imaginative SLP, LLC.
• Imagine Healthcare LLC
• Imagine Therapy Mindfulness Healing PLLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.