Seong Eun Ju

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040591-1 Issued in NY

Practice address

107-02R Jamaica Ave
Richmond Hill, NY 11418

Phone

(347) 829-3890

Fax

(347) 829-3888

NPI assigned

Mar 31, 2022

Reactivated

May 30, 2024

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)

Not 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.

• Physical Care PT PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1295449049

  Physical Therapist

  NPD
• Balance in Motion Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1982076717

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1720728306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-02R JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-02R JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "SEONG EUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-05-30",
        "certification_date": "2023-04-06",
        "deactivation_date": "2023-04-06",
        "reactivation_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040591-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jofef Companion Care Inc
• Suzanne Jolly, NP
• Sihyeon Joo
• Hillary Josefsberg, REGISTERED NURSE
• Joseph Joseph
• Jupiter DME LLC
• Joanna Kabat-Rey, LMHC LCAT CASAC
• Yelena Kafarskaya
• Muhammad Imran Kafeel, M.D.
• Roman S Kakzanov, OD

• Physical Therapist in Richmond Hill, NY
• Providers in Richmond Hill, 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 May 30, 2024; 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.