DR. EUNYOUNG JO (PT) – Physical Therapist, NPI 1205587821

DR. EUNYOUNG JO (PT) is a healthcare provider. based in Duluth, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT015705 (GA). The NPI Number for DR. EUNYOUNG JO (PT) is 1205587821

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. EUNYOUNG JO (PT)
NPI
1205587821
Phone
(917) 500-4800
Address
2625 HARMAN PARK CT
Enumeration Date
14 January 2022
Last Update Date
14 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5126769677
Graduation Year
2019 (7 years ago)
PAC ID
5890148969
Group Practice PAC ID
8224515820
Professional Enrollment ID
I20260216002460
Address ID
TX786813601RO16333DRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for DR. EUNYOUNG JO (PT)

  • 2625 HARMAN PARK CT

    DULUTH, GA 300974956

    Phone: (917) 500-4800

    Type: Mailing

  • 3473 SATELLITE BLVD STE 108N

    DULUTH, GA 300968690

    Phone: (470) 550-1271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260216002460IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224515820View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How is DR. EUNYOUNG JO (PT) identified in CMS data?
CMS-hosted NPPES data lists DR. EUNYOUNG JO (PT) with NPI 1205587821.
Is DR. EUNYOUNG JO (PT) listed as active for patients and plans?
The listing shows DR. EUNYOUNG JO (PT) as active in the NPI system.
What is DR. EUNYOUNG JO (PT)'s specialty?
The listing groups DR. EUNYOUNG JO (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DR. EUNYOUNG JO (PT) list a practice location?
Patients near Duluth, Georgia may find DR. EUNYOUNG JO (PT) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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