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

Jihwan Jeong

Individual provider Physical Therapist · NPI 1013629419

Jihwan Jeong is a Physical Therapist in Private Practice in Dover, Delaware. Qualified in 2022, 4 years ago. Practices with Elite Wellness and Sports Medicine Center, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

1288 S Governors Ave
Dover, DE 19904-4802
Phone: (302) 677-0100
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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 number1013629419
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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)
Group practice Elite Wellness And Sports Medicine Center — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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