JASON JEONG SOO SHIN PT, DPT
NPI 1245094135
Physical Therapist in New Hyde Park, NY

Active since February 12, 2024Accepts Medicare Assignment
1730 LAKEVILLE RD, NEW HYDE PARK, NY 11040(516) 326-4580 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason Jeong Soo Shin Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON JEONG SOO SHIN PT, DPT (NPI 1245094135) is an individual physical therapist in New Hyde Park, New York, licensed in New York (051952) and active in the NPI registry since February 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1245094135
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJASON JEONG SOO SHINCredential: PT, DPT
Location Address1730 LAKEVILLE RDNew Hyde Park, NY 11040-2506
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224 · (914) 294-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1245094135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 051952
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1730 LAKEVILLE RD, New Hyde Park, NY 11040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Jeong Soo Shin Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335584564
PECOS Enrollment IDI20240228000714

Medicare Billing Reassignments

3

Medicare enrollment records show Jason Shin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group
Physical Therapist
550 MAMARONECK AVE, SUITE 104
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 335 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,215 services203 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,134 services191 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,029 services184 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
601 services152 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
54 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapy Assistant
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Specialist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Specialist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Shin's NPI number?

The NPI number for Jason Shin is 1245094135. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jason Shin located?

Jason Shin practices at 1730 Lakeville Rd, New Hyde Park, NY 11040. The listed phone number is (516) 326-4580.

What is Jason Shin's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jason Shin enrolled in Medicare?

Yes. Jason Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jason Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Shin reassigns Medicare benefits to 3 organizations: Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY), Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Shin accept?

Health plans from Oscar Health list Jason Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Shin was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.