Individual provider Active NPI

Youngsoo Yoo, PT, DPT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1477145597
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015073 Issued in GA
Practice address
3790 Pleasant Hill Rd Ste 100
Duluth, GA 30096-5143
Phone
(770) 497-4228
Fax
(770) 497-4474
NPI assigned
Feb 10, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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 PT015073 GA Primary

Addresses

Primary practice location

3790 Pleasant Hill Rd Ste 100
Duluth, GA 30096-5143

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210402000002 GA Practitioner - Physical Therapist in Private Practice 5597172841 Reassigns benefits to 3 organizations
I20211230000411 WA Practitioner - Physical Therapist in Private Practice 5597172841 Reassigns benefits to 1 organization
I20240711000161 TN Practitioner - Physical Therapist in Private Practice 5597172841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

104 Jack Dance St
Knoxville, TN 37919-5576
Phone (865) 691-8381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15791TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jan 25, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients
Multicare Health System CurrentSince Sep 29, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Jan 25, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Sep 29, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jan 25, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

3790 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-4228

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

104 Jack Dance St
Knoxville, TN 37919
Phone (865) 391-8381

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 12

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1477145597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL RD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965143",
            "telephone_number": "770-497-4228",
            "fax_number": "770-497-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "YOUNGSOO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.