Jeongwook So, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3508 154TH St
Flushing, NY 11354-5020

Phone

(646) 460-1090

Fax

(646) 290-7059

NPI assigned

Nov 25, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• 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.

• Fit Into PT PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1386275220
  Medicare reassignment Authorized official
• Met Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1083850184
  Medicare reassignment NPD
• Jungwon Acpuncture P.C

  • Acupuncturist
  • East Meadow, NY
  • NPI 1568045185
  NPD (past)
• Pak Hong Sik MD Medical Care PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1508325101

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1760028625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 154TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545020",
            "telephone_number": "646-460-1090",
            "fax_number": "646-290-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 154TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545020",
            "telephone_number": "646-460-1090",
            "fax_number": "646-290-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "JEONGWOOK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayley Celeste Snead, RPH
• Snore No More Ny
• Mark Stuart Snyder, DC
• Morgan Snyder
• So Young Kwon'S Physical Therapy P.C.
• Sze Ming Simmi So
• Danna Sobiecki, MS CCC-SLP
• Socius
• Robyn Rachel Socol, RD
• Rhonda Soffler

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Sep 19, 2025; 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.