Organization Active NPI

Hun K Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1053919589
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HUN K PHYSICAL THERAPY P.C.
Practice address
4015 81St St Apt A65
Elmhurst, NY 11373-1343
Phone
(646) 696-1727
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Hun Kwon, PYHSICAL THERAPYNPI 1588276158
Title
Owner
Phone
(646) 696-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4015 81St St Apt A65
Elmhurst, NY 11373-1343

Mailing address

4015 81St St Apt A65
Elmhurst, NY 11373-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027000636 NY Part B Supplier - Clinic/Group Practice 2961822242 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

72 Avenue O
Ste 1
Brooklyn, NY 11204
Phone (347) 398-0033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1053919589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 81ST ST APT A65",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 81ST ST APT A65",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731343",
            "telephone_number": "646-696-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUN K PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-696-1727",
        "authorized_official_credential": "PYHSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.