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

Kang Seo

Individual provider Physical Therapist · NPI 1659746451

Kang Seo is a Physical Therapist in Private Practice in Hicksville, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2012, 14 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 W Old Country Rd Ste 001
Hicksville, NY 11801-4036
Phone: (516) 433-4570
Fax: (516) 433-4578
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039791 (NY)

Record details

NPI number1659746451
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015
Mailing address111 W Old Country Rd, Suite 001, Hicksville, NY 11801-4036

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hicksville