JEONGWOOK SO PT
NPI 1760028625
Physical Therapist in Flushing, NY

Active since November 25, 2019Accepts Medicare Assignment
3508 154TH ST, FLUSHING, NY 11354(646) 460-1090(646) 290-7059 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Mar 5, 2025, Nov 25, 2019 (3 updates tracked since 2019).

About Jeongwook So Pt NPPES

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

JEONGWOOK SO PT (NPI 1760028625) is an individual physical therapist in Flushing, New York and active in the NPI registry since November 2019. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1760028625
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEONGWOOK SOCredential: PT
Location Address3508 154TH STFlushing, NY 11354-5020
Mailing Address3508 154th StFlushing, NY 11354-5020 · (646) 460-1090 · Fax (646) 290-7059
Fax(646) 290-7059
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 25, 2019
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1760028625 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
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.
3508 154TH ST, Flushing, NY 11354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeongwook So Pt 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 ID7517397201
PECOS Enrollment IDI20200421000662

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 2

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

Clinic/Center (Physical Therapy)
3508 154TH ST
FLUSHING, NY 11354
Physical Therapist
3508 154TH ST
FLUSHING, NY 11354

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 Jeongwook So's NPI number?

The NPI number for Jeongwook So is 1760028625. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Jeongwook So located?

Jeongwook So practices at 3508 154th St, Flushing, NY 11354. The listed phone number is (646) 460-1090.

What is Jeongwook So's specialty?

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

Is Jeongwook So enrolled in Medicare?

Yes. Jeongwook So 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.

When was this NPI record last updated?

The NPPES record for Jeongwook So was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.