Careon Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CAREON PHYSICAL THERAPY PC

Practice address

75 E Broadway BSMT B7
New York, NY 10002-6007

Phone

(212) 796-2880

Fax

(212) 796-2881

NPI assigned

Aug 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Namyoung Baek, PTNPI 1366846495

Title

President/ Physical Therapist

Phone

(293) 007-1099

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Namyoung Baek

  • Physical Therapist
  • New York, NY
  • NPI 1366846495
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1003461179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16707 29TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581501",
            "telephone_number": "929-330-7109",
            "fax_number": "347-506-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E BROADWAY BSMT B7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026007",
            "telephone_number": "212-796-2880",
            "fax_number": "212-796-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "NAMYOUNG",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "293-007-1099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.