Taeryeon Yang, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044226 Issued in NY

Practice address

4199 Main St Ste 202B
Flushing, NY 11355-5164

Phone

(929) 600-4257

Fax

(833) 985-0130

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1548981632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 202B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555164",
            "telephone_number": "929-600-4257",
            "fax_number": "833-985-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 202B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555164",
            "telephone_number": "929-600-4257",
            "fax_number": "833-985-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "TAERYEON",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ning Yang, NP
• Richard Lein Yang, DDS
• Seung Hyuk Yang, DMD
• Shao Xu Yang, LMSW
• Stanley Yang, M.D.
• Tina Yang, DO
• Tracy Yang, MD, MPHIL
• Won Joon Yang
• Xingmei Yang
• Ya Wen Yang

• 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 Sep 7, 2022; 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.