Active NPI
Sung Jin Yoo
- Physical Therapist
- Jenkintown, PA
National Provider Identifier
1861701252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020906
- Practice address
- 501 Washington LN Ste 302
Jenkintown, PA 19046-3148 - Phone
- (215) 554-2151
- Fax
- (215) 618-2506
- NPI assigned
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020906 | PA | Primary |
| Physical Therapist | 225100000X | 10694 | CO | |
| Physical Therapist | 225100000X | 032629 | NY |
Addresses
Primary practice location
501 Washington LN Ste 302
Jenkintown, PA 19046-3148
Mailing address
501 Washington LN
Ste 302
Jenkintown, PA 19046-3148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1349 W Cheltenham Ave
Suite 201
Elkins Park, PA 19027-3141
Phone (267) 763-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10694 | CO | MD | Physical Therapist |
| PT020906 | PA | MD | Physical Therapist |
| 032629 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dasarang Wellness Center Inc | Physical Therapist | Current | Accepting new patients |
| Yoo Physical Therapy & Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
Locations
1349 W Cheltenham Ave
Ste 201
Elkins Park, PA 19027
Phone (215) 782-1610
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
- Jenkintown, PA
- NPI 1508168048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1861701252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WASHINGTON LN",
"address_2": "STE 302",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON LN STE 302",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463148",
"telephone_number": "215-554-2151",
"fax_number": "215-618-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "SUNG JIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-01",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020906",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10694",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.