Active NPI
Eric Yoonjun Byun, PT, DPT
- Physical Therapist
- Mount Airy, MD
National Provider Identifier
1780147439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27394
- Practice address
- 1502 S Main St Ste 303
Mount Airy, MD 21771-5375 - Phone
- (301) 829-5880
- Fax
- (301) 829-5889
- NPI assigned
- Apr 10, 2019
- 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 | 27394 | MD | Primary |
Addresses
Primary practice location
1502 S Main St Ste 303
Mount Airy, MD 21771-5375
Mailing address
9101 Wesleyan Rd Ste 100
Indianapolis, IN 46268-3103
Phone (800) 603-6046
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27394 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Physical Therapist | Past | Accepting new patients |
| Amber Hill Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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 Therapist
- Frederick, MD
- NPI 1548290224
-
- Physical Therapist
- Frederick, MD
- NPI 1336145127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1780147439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9101 WESLEYAN RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683103",
"telephone_number": "800-603-6046",
"fax_number": "866-231-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S MAIN ST STE 303",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715375",
"telephone_number": "301-829-5880",
"fax_number": "301-829-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYUN",
"first_name": "ERIC",
"middle_name": "YOONJUN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.