Chang Goo Yoon, P.T.,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18660 Issued in MA

Practice address

44 Washington St
Suite 104
Brookline, MA 02445-7130

Phone

(617) 731-1004

Fax

(617) 731-1001

NPI assigned

Aug 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Boston Pain & Rehab Center,Inc

  • Physical Therapy Clinic/Center
  • Brookline, MA
  • NPI 1477889483
  NPD (past) Authorized official
• DC Pain Center Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1578697710
  NPD (past) Authorized official

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1538169552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535322",
            "telephone_number": "617-731-1004",
            "fax_number": "617-879-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-731-1004",
            "fax_number": "617-731-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "CHANG",
        "middle_name": "GOO",
        "name_prefix": "Dr.",
        "credential": "P.T.,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0936",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S. Yee
• Youko G Yeracaris, M.D.
• Julie D Yeterian, PH.D.
• Moka Yoo-Jeong
• Juliana Yoo
• Justin Yoon, DPT
• Taylor K Young, MSW, LICSW
• Carol Chu Yu, PHD
• Jianming Yu, DMD
• Lani Yujiri

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.