Active NPI
Won Il Yoo, P.T., D.P.T.
- Physical Therapist
- Eldersburg, MD
National Provider Identifier
1821386269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23717
- Practice address
- 1332 Londontown Blvd
Eldersburg, MD 21784-6587 - Phone
- (443) 531-5888
- Fax
- (410) 877-2002
- NPI assigned
- Jul 19, 2011
- 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 | 23717 | MD | Primary |
Addresses
Primary practice location
1332 Londontown Blvd
Eldersburg, MD 21784-6587
Mailing address
1332 Londontown Blvd
Eldersburg, MD 21784-6587
Phone (443) 531-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6300 Georgetown Blvd
Suite 101
Eldersburg, MD 21784-6422
Phone (443) 531-5888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23727 | MD | MD | Pharmacist |
| 23717 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primephysicaltherapyllc | Physical Therapist | Current | Accepting new patients |
Locations
1332 Londontown Blvd
Sykesville, MD 21784
Phone (410) 261-4430
6300 Georgetown Blvd
Ste 101
Sykesville, MD 21784
Phone (443) 531-5888
Organizations & group practices 1
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 Therapy Clinic/Center
- Eldersburg, MD
- NPI 1154868172
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1821386269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 LONDONTOWN BLVD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846587",
"telephone_number": "443-531-5888",
"fax_number": "410-877-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 LONDONTOWN BLVD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846587",
"telephone_number": "443-531-5888",
"fax_number": "410-877-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "WON",
"middle_name": "IL",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.