Haengyeol Heo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034739 Issued in NY

Practice address

1656 5TH Ave Unit C
Bay Shore, NY 11706-3429

Phone

(631) 510-0145

Fax

(631) 510-0151

NPI assigned

Jul 20, 2016

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Haengyeol Heo PT PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1245849397
  NPD Authorized official
• Little Neck PT PC

  • Physical Therapist
  • Bay Shore, NY
  • NPI 1487263539
  NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1700239258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 5TH AVE UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063429",
            "telephone_number": "631-510-0145",
            "fax_number": "631-510-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 5TH AVE UNIT C",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063429",
            "telephone_number": "631-510-0145",
            "fax_number": "631-510-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "HAENGYEOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hematology-Oncology Associates of Western Suffolk PC
• Hematology-Oncology Associates of Western Suffolk PC
• Tracey Henning
• Stephanie A Henriques, LMSW
• Lauren Ann Henry, NURSE PRACTITIONER
• Jacqueline Hermida, LMHC
• Ana Hernandez Martinez
• Hernandez Podiatry P.C.
• Jonice Hernandez, RN
• Peter Anthony Hernandez, DPM

• Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, 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 Aug 5, 2026; 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.