Philam Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030366 Issued in NY

Legal business name

PHILAM PHYSICAL THERAPY PC

Practice address

15609 Northern Blvd
Flushing, NY 11354-5033

Phone

(347) 247-7462

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Seong Sik KimNPI 1598053530

Title

P.T.

Phone

(347) 247-7462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Seongsik Kim, P.T.

  • Physical Therapist
  • Flushing, NY
  • NPI 1598053530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1013282235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033",
            "telephone_number": "347-247-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033",
            "telephone_number": "347-247-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILAM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEONG SIK",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "347-247-7462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Alexis Pfeffer, DMD
• Susanna Pfefferblit, MD
• Pflege Physical Therapy PC
• Avian Pham, MD
• PHD Pharmaceutical Services Inc
• Susan Phillips, NP
• Phoenix Care LLC
• Phoenix Care LLC
• Phoenix Wellness Acupuncture and Massage PC
• Kathleen Phung, MD

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.