Jee Young Park Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JEE YOUNG PARK PHYSICAL THERAPY PC

Practice address

25220 Northern Blvd # 220
Little Neck, NY 11362-1300

Phone

(731) 332-2699

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Jee Young ParkNPI 1881175370

Title

DPT

Phone

(731) 332-2699

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jee Young Park

  • Physical Therapist
  • New York, NY
  • NPI 1881175370
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1114759479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 203RD ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25220 NORTHERN BLVD # 220",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621300",
            "telephone_number": "731-332-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEE YOUNG PARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JEE YOUNG",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "731-332-2699"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Ford Medical PC
• Mark L Jacobs, D.C.
• Claire Jacobsohn, P.T.
• Baile Jaffe
• Rafael A Javier
• Maria Cristina Jon, PT
• Sunghye Joo
• Jovial Lewis Pediatric Physical Therapy PLLC
• JRJ Chiropractic P.C.
• JSB LLC

• Physical Therapist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.