Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kang Seo

Individual provider Physical Therapist · NPI 1659746451

Kang Seo is registered under 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
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Practice location Address checks out

111 W Old Country Rd Ste 001
Hicksville, NY 11801-4036 Not confirmed with CMS for 10 years — call before visiting
Phone: (516) 433-4570
Fax: (516) 433-4578
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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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients191
Services billed 2,931 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 529 clinicians in the practice; 12 are shown here.

Other providers in Hicksville