Michael Woojin Eom, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030367 Issued in PA

Practice address

2509 S 4TH St
Philadelphia, PA 19148-4712

Phone

(215) 271-1080

NPI assigned

Jan 9, 2023

Sex

Male

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

• Michael Woojin Rim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1952015687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 SANSOM ST # 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042916",
            "telephone_number": "919-622-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484712",
            "telephone_number": "215-271-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 Sansom St # 1F",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042916",
            "country_code": "US",
            "telephone_number": "919-622-3146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EOM",
        "first_name": "MICHAEL",
        "middle_name": "WOOJIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "RIM",
            "middle_name": "WOOJIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hasan Daniel Entwistle, MD
• John Walter Entwistle, MD
• Enurzen LLC
• Envisioncare Home Health Services LLC
• Chinyere Adama Enyia, CRNP
• Joyce Epelboim Feldman, MD
• Jessica Epere, MD
• Ephraim Hospice Care Inc
• Max Ephraim, DDS
• Epic Developmental Services

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.