Active NPI
Kang Seo
- Physical Therapist
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039791
- Practice address
- 111 W Old Country Rd
Suite 001
Hicksville, NY 11801-4036 - Phone
- (516) 433-4570
- Fax
- (516) 433-4578
- NPI assigned
- Dec 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039791 | NY | Primary |
Addresses
Primary practice location
111 W Old Country Rd
Suite 001
Hicksville, NY 11801-4036
Mailing address
111 W Old Country Rd
Suite 001
Hicksville, NY 11801-4036
Phone (516) 433-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966
45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 621-1170
54 Central Park Rd
Plainview, NY 11803-2012
Phone (516) 870-2556
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.72 of 100
- Quality
- 82.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group PC | Current | Accepting new patients | |
| Home Physical Therapy Solutions P.C. | Physical Therapist | Current | Accepting new patients |
| True North Medical Group PC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| 1 To 1 Concierge Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
| Bravo Occupational Therapy PC | Physical Therapist | Past | Accepting new patients |
| True North Medical Group PC | Past | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
111 W Old Country Rd
Ste 1
Hicksville, NY 11801
Phone (516) 433-4570
111 W Old Country Rd
Unit 1
Hicksville, NY 11801
Phone (516) 433-4570
444 Merrick Rd
Ste 360
Lynbrook, NY 11563
Phone (516) 536-3800
1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568
1983 Marcus Ave
Ste 119
New Hyde Park, NY 11042
Phone (516) 321-7526
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080
Organizations & group practices 9
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.
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- NPI 1730415431
-
- Occupational Therapist
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- NPI 1356742365
Physical Therapist
-
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- Merrick, NY
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- NPI 1629825591
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- Oxygen Equipment & Supplies (DME)
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- Occupational Therapist
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- NPI 1194448449
Physical Therapist
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- NPI 1669762258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1659746451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W OLD COUNTRY RD",
"address_2": "SUITE 001",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014036",
"telephone_number": "516-433-4570",
"fax_number": "516-433-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W OLD COUNTRY RD",
"address_2": "SUITE 001",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014036",
"telephone_number": "516-433-4570",
"fax_number": "516-433-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "KANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.