Organization Active NPI

Core Bridge Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1073266011
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE BRIDGE PHYSICAL THERAPY P.C.
Practice address
280 Madison Ave RM 1211
New York, NY 10016-0809
Phone
(212) 884-1110
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Dr. Sung Min Choi, DPTNPI 1285284166
Title
Doctor of Physical Therapy.
Phone
(929) 270-7200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

280 Madison Ave RM 1211
New York, NY 10016-0809

Mailing address

18 River Street Ext Apt 317
Little Ferry, NJ 07643-1132
Phone (929) 270-7200

National Provider Directory

National Provider Directory

Locations

60 Dutch Hill Rd
Ste GL-1
Orangeburg, NY 10962

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1073266011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIVER STREET EXT APT 317",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431132",
            "telephone_number": "929-270-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 1211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160809",
            "telephone_number": "212-884-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BRIDGE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SUNG MIN",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY.",
        "authorized_official_telephone_number": "929-270-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.