Individual provider Active NPI

Hyun Gyu Yoo, DPT

  • Physical Therapist
  • Fontana, CA
National Provider Identifier
1386577617
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
310315 Issued in CA
Practice address
8545 Sierra Ave
Fontana, CA 92335-3868
Phone
(909) 365-3557
Fax
(909) 658-8987
NPI assigned
Jun 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 310315 CA Primary

Addresses

Primary practice location

8545 Sierra Ave
Fontana, CA 92335-3868

Mailing address

6618 Ventura PL
Rancho Cucamonga, CA 91701-4406

Other practice location 1

527 N Palm Ave Ste 101
Ontario, CA 91762-3215
Phone (909) 983-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8545 Sierra Ave
Fontana, CA 92335-3868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310315CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Rehab Center Physical Therapy a Professional Corporation Physical Therapist CurrentSince May 6, 2026 Accepting new patients

Locations

8545 Sierra Ave
Fontana, CA 92335
Phone (909) 365-3557

527 N Palm Ave
Ste 101
Ontario, CA 91762
Phone (909) 983-3557

Organizations & group practices 1

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": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1386577617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 VENTURA PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917014406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353868",
            "telephone_number": "909-365-3557",
            "fax_number": "909-658-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 N Palm Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623215",
            "country_code": "US",
            "telephone_number": "909-983-3557",
            "fax_number": "909-658-8985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "HYUN GYU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.