Jeongwook PT P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JEONGWOOK PT P.C.

Doing business as

Jeongwook PT P.C.

Practice address

416 White Rose LN
East Meadow, NY 11554-2543

Phone

(646) 460-1090

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Jeongwook So, PTNPI 1760028625

Title

President/Physicaltherapist

Phone

(646) 460-1090

Specialties & licenses 1

Addresses

Other names 1

• Jeongwook PT P.C. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeongwook So, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1760028625
  Authorized official Same address or phone

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1942061213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WHITE ROSE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542543",
            "telephone_number": "646-460-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 WHITE ROSE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542543",
            "telephone_number": "646-460-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONGWOOK PT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "JEONGWOOK",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICALTHERAPIST",
        "authorized_official_telephone_number": "646-460-1090",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeongwook PT P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeongwook PT P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryne Connor Jenkins, DO
• Brooke Jensen
• Lindsey Marie Jensen, M.S.
• Peter Jensen, PT,DPT
• Hansung Jeon
• Pravin Jeyamoorthy, M.B.B.S.
• Mohammad Mohib Jilani
• Yuxuan Jin, MD
• JL Acupuncture Care
• JMD Pharma Inc (Goodness Pharmacy)

• Physical Therapy Clinic/Center in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.