Seung Jo Yoo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031582 Issued in NY

Practice address

9811 Queens Blvd Ste 1E
Rego Park, NY 11374-3309

Phone

(718) 830-0400

Fax

(718) 830-0005

NPI assigned

Jul 5, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Joy Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1750630174
  Medicare reassignment Authorized official
• Love Hope Physical Therapy PC

  • Physical Therapist
  • Rego Park, NY
  • NPI 1205699154
  NPD
• Wellness Medical of Corona PC

  • Family Medicine Physician
  • Corona, NY
  • NPI 1336516210
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1639434673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD STE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743309",
            "telephone_number": "917-612-3939",
            "fax_number": "718-830-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD STE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743309",
            "telephone_number": "718-830-0400",
            "fax_number": "718-830-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14226 37th Ave",
            "address_2": "#C BASEMENT",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544103",
            "country_code": "US",
            "telephone_number": "718-353-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "SEUNG JO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03681096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yellowstone Medical Rehabilitation, P.C.
• Yf Medical Services PC
• Yhs Physical Therapy PC
• Yjy Acupuncture, PC
• Ylc Adult Daycare Inc
• Catherine Young, DMD
• Doris Yuemin Yu
• Boris G Yuabov, DPM
• Elizabeth Yuabov, DDS
• Yunayev Family Health NP PLLC

• Physical Therapist in Rego Park, NY
• Providers in Rego Park, 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 Dec 6, 2024; 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.