Active NPI
Sangyong Shin, P.T.
- Physical Therapist
- Aurora, CO
National Provider Identifier
1578641700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7950
- Practice address
- 14001 E Iliff Ave Ste 215
Aurora, CO 80014-1426 - Phone
- (303) 341-2277
- Fax
- (303) 341-7722
- NPI assigned
- Nov 2, 2006
- Last updated
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7950 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 7950 | CO |
Addresses
Primary practice location
14001 E Iliff Ave Ste 215
Aurora, CO 80014-1426
Mailing address
14001 E Iliff Ave Ste 215
Aurora, CO 80014-1426
Phone (303) 341-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67782566 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 E Exposition Ave
Suite 200
Aurora, CO 80012-2552
Phone (303) 341-2277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7950 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Health PT&OT | Physical Therapist | Current | Accepting new patients |
| All in One Medical Inc | Past | Accepting new patients |
Locations
14001 E Iliff Ave
Ste 215
Aurora, CO 80014
Phone (303) 341-2277
Organizations & group practices 3
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.
-
- Physical Therapist
- Aurora, CO
- NPI 1174652580
-
- Physical Therapist
- Aurora, CO
- NPI 1427788769
-
- Physical Medicine & Rehabilitation Physician
- Denver, CO
- NPI 1295806792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1578641700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 E ILIFF AVE STE 215",
"city": "AURORA",
"state": "CO",
"postal_code": "800141426",
"telephone_number": "303-341-2277",
"fax_number": "303-341-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 E ILIFF AVE STE 215",
"city": "AURORA",
"state": "CO",
"postal_code": "800141426",
"telephone_number": "303-341-2277",
"fax_number": "303-341-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "SANGYONG",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "7950",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "7950",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67782566",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.