Individual provider Active NPI

Steve Y Ko, DPT

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1104098318
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027453 Issued in NY
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

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03410139MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000000 NY Practitioner - Physical Therapist in Private Practice 7911086152 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Stellar Physical & Occupational Therapy & Acupuncture, PLLC Physical Therapist CurrentSince Sep 15, 2013 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.

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.

Verify at the official NPI Registry.