Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeongwook So, PT

Individual provider Physical Therapist · NPI 1760028625

Jeongwook So, PT is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3508 154th St
Flushing, NY 11354-5020
Phone: (646) 460-1090
Fax: (646) 290-7059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1760028625
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 25, 2019
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address3508 154th St, Flushing, NY 11354-5020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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