Stanley Park Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STANLEY PARK PHYSICAL THERAPY, P.C.

Doing business as

Bell Physical Therapy & Rehabilitation

Practice address

4711 Bell Blvd
Bayside, NY 11361-3333

Phone

(718) 423-5100

NPI assigned

Sep 16, 2013

Last updated

Mar 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sejoong Park, D.P.T.NPI 1285961177

Title

Physical Therapist/President

Phone

(718) 423-5100

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bell Physical Therapy & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• SE Joong Park, DPT

  • Physical Therapist
  • Bayside, NY
  • NPI 1285961177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1093141533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962106",
            "telephone_number": "718-423-5100",
            "fax_number": "718-423-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-423-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY PARK PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEJOONG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "718-423-5100",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04029030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Physical Therapy & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Mary's Hospital for Children
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• Alice Staco
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• Stanley Strick M.D., P.C.
• Jeffrey Seymour Starr, OD
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• Neofitos Stefanides, M.D.
• Paraskevas Stefanides, M.D.

• Physical Therapy Clinic/Center in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.