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Jason Jeong Soo Shin, PT, DPT

NPI 1245094135ActiveIndividual· Physical Therapist· New Hyde Park, NY

Physical Therapist (PT, DPT) with New York University and 2 other groups, practicing in New Hyde Park, New York. Medicare paid $100,217 for services to 203 patients in 2024.

Overview

NPI1245094135
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedFeb 12, 2024
Last updated in NPPESFeb 12, 2024
Certified by providerFeb 10, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X051952NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients203
Services billed4,066 across 9 procedure codes
Paid by Medicare$100,217

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

Other physical therapists in New Hyde Park

All 157 physical therapists in New Hyde Park · All physical therapists in New York