Seungye Jeon
NPI 1063835494ActiveIndividual· Physical Therapist· Gaithersburg, MD
Physical Therapist with Red Canyon LLC, practicing in Gaithersburg, Maryland. Medicare paid $68,842 for services to 56 patients in 2024.
Overview
| NPI | 1063835494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 21, 2014 |
| Last updated in NPPES | Oct 19, 2021 |
| Certified by provider | Oct 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 26084 | MD |
| Acupuncturist | 171100000X | 006017 | NY |
| Physical Therapist | 225100000X | 035505 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 3,958 across 11 procedure codes |
| Paid by Medicare | $68,842 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Red Canyon LLCUrbana, MD · 11 clinicians
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