Hyun Gyung Pyo, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2930 W Harvard Ave
Rosebury, OR 97471

Phone

(541) 784-7771

Fax

(541) 672-1466

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Hyun Gung Song Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Body Essential Physical Therapy and Massage, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1396130894
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1972038974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W. HARVARD AVE",
            "city": "ROSEBURY",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-784-7771",
            "fax_number": "541-672-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W HARVARD AVE",
            "city": "ROSEBURY",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-784-7771",
            "fax_number": "541-672-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYO",
        "first_name": "HYUN",
        "middle_name": "GYUNG",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYUN",
            "last_name": "SONG",
            "middle_name": "GUNG",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.