Sungsoo Bong, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028633 Issued in PA

Practice address

815 Sumneytown Pike Ste 200
Lansdale, PA 19446-5390

Phone

(267) 642-9133

Fax

(267) 642-9139

NPI assigned

Dec 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allcare Physical Therapy IncGroup PAC ID 5597117788, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Allcare Physical Therapy Inc

  • Physical Therapist
  • Lansdale, PA
  • NPI 1871367128
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1972108371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 200",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "267-642-9133",
            "fax_number": "267-642-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 200",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "267-642-9133",
            "fax_number": "267-642-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522006",
            "country_code": "US",
            "telephone_number": "267-963-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONG",
        "first_name": "SUNGSOO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri E Blackstone, MD
• Lee M Blatstein, DO
• Blue Mountain Wellness, PLLC
• Nina Sheppard Boal, MD
• Louise M Bolte, CRNP
• Amber Earl Borchardt
• Kira Borshcheva, LPN
• William Boswell, LPN
• Joseph C Botelho, LCSW
• William N. Bothwell, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.

Verify at the official NPI Registry.