Active NPI
Zhaoyu Jia
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1104369883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040940
- Practice address
- 86-09 51St Ave
1St Floor
Elmhurst, NY 11373 - Phone
- (917) 858-8570
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040940 | NY | Primary |
| Acupuncturist | 171100000X | 006285 | NC |
Addresses
Primary practice location
86-09 51St Ave
1St Floor
Elmhurst, NY 11373
Mailing address
4265 Kissena Blvd Apt 517
Flushing, NY 11355-3201
Phone (917) 858-8570
Other practice location 1
132-03 Sanford Ave
suite 1c
Flushing, NY 11355
Phone (718) 961-8881
Other practice location 2
132-03 Sanford Ave
suite 1c
Flushing, NY 11355
Phone (718) 961-8881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006285 | NC | MD | Acupuncturist |
| 040940 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Medical Care, P.C. | Past | Accepting new patients | |
| Premium Medical Care, PC | Past | Accepting new patients |
Organizations & group practices 3
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 1881103133
-
- Physical Medicine & Rehabilitation Physician
- Flushing, NY
- NPI 1730399163
-
- Clinic/Center
- Flushing, NY
- NPI 1336699479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1104369883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 KISSENA BLVD APT 517",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553201",
"telephone_number": "917-858-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-09 51ST AVE",
"address_2": "1ST FLOOR",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "917-858-8570"
}
],
"practiceLocations": [
{
"address_1": "132-03 SANFORD AVE",
"address_2": "suite 1c",
"address_purpose": "LOCATION",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"country_code": "US",
"telephone_number": "718-961-8881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "132-03 SANFORD AVE",
"address_2": "suite 1c",
"address_purpose": "LOCATION",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"country_code": "US",
"telephone_number": "718-961-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIA",
"first_name": "ZHAOYU",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040940",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "006285",
"primary": false
}
],
"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 Aug 27, 2018; 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.