Active NPI
Steve Y Ko, DPT
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1104098318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027453
- Practice address
- 8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556 - Phone
- (718) 699-5070
- Fax
- (718) 699-5071
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027453 | NY | Primary |
Addresses
Primary practice location
8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556
Mailing address
8709 Justice Ave
1St Floor
Elmhurst, NY 11373-4556
Phone (718) 699-5070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03410139 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Hope Dr
Plainview, NY 11803-5626
Phone (516) 822-2118
87 - 09 Justice Ave
1St Floor
Elmhurst, NY 11373-4556
8709 Justice Ave
Elmhurst, NY 11373-4556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Physical & Occupational Therapy & Acupuncture, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
8709 Justice Ave
Ste 1
Elmhurst, NY 11373
Phone (718) 699-5070
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1366714081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1104098318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8709 JUSTICE AVE",
"address_2": "1ST FLOOR",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734556",
"telephone_number": "718-699-5070",
"fax_number": "718-699-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8709 JUSTICE AVE",
"address_2": "1ST FLOOR",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734556",
"telephone_number": "718-699-5070",
"fax_number": "718-699-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "STEVE",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03410139",
"state": "NY"
}
],
"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 Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.