Active NPI
Conway Sung Jun Yeo, PT, DPT.
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1699164392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42009
- Practice address
- 671 W Naomi Ave
Arcadia, CA 91007-7502 - Phone
- (626) 446-7027
- NPI assigned
- Jan 18, 2015
- Last updated
- Jan 29, 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 | 42009 | CA | Primary |
Addresses
Primary practice location
671 W Naomi Ave
Arcadia, CA 91007-7502
Mailing address
671 W Naomi Ave
Arcadia, CA 91007-7502
Phone (626) 446-7027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42009 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1699164392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 W NAOMI AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077502",
"telephone_number": "626-446-7027",
"fax_number": "626-566-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 W NAOMI AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077502",
"telephone_number": "626-446-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEO",
"first_name": "CONWAY",
"middle_name": "SUNG JUN",
"credential": "PT, DPT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-18",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.