Active NPI
Sohee Yoon
- Physical Therapist
- Ronkonkoma, NY
National Provider Identifier
1831516905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037313
- Practice address
- 4671 Express Dr N
Ronkonkoma, NY 11779-5562 - Phone
- (412) 608-8937
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- 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 | 037313 | NY | Primary |
Addresses
Primary practice location
4671 Express Dr N
Ronkonkoma, NY 11779-5562
Mailing address
333 Broadway
Suite 2
Amityville, NY 11701-2719
Phone (412) 608-8937
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037313 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1831516905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BROADWAY",
"address_2": "SUITE 2",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012719",
"telephone_number": "412-608-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 EXPRESS DR N",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117795562",
"telephone_number": "412-608-8937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SOHEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.