Grace Eunbi Song, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044918-01 Issued in NY

Practice address

90 E Shore Rd
Great Neck, NY 11023-2409

Phone

(516) 684-1122

NPI assigned

Sep 26, 2019

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Grace Jeong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

77.16 of 100Reported as group

Quality

70

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

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  • White Plains, NY
  • NPI 1629825591
  NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
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• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1871144139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 149TH ST FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543242",
            "telephone_number": "646-266-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232409",
            "telephone_number": "516-684-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "GRACE",
        "middle_name": "EUNBI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044918-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "JEONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vinod Y Somareddy, PT, DPT
• Lisa Someck, LCSW-R
• Nir N Somekh, M.D.
• Laura Somma, M.D.
• Jason Sonbolian, R.N.
• Pinxi Song
• Roya Songhorian, PHARM-D
• Rebecca Sophir-Kusnetz
• Evan S. Sorett, M.D.
• Melissa Souferian

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.