Active NPI
Jisu Physical Therapy PC
- Physical Therapist
- Flushing, NY
National Provider Identifier
1134795115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JISU PHYSICAL THERAPY PC
- Practice address
- 7945 Metropolitan Ave
Flushing, NY 11379-2938 - Phone
- (347) 421-8173
- NPI assigned
- Jun 1, 2021
- Last updated
- May 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jisu Yu
- Title
- Physical Therapist
- Phone
- (347) 421-8173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
7945 Metropolitan Ave
Flushing, NY 11379-2938
Mailing address
9921 67TH Rd Apt 7E
Forest Hills, NY 11375-3016
Phone (347) 421-8173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Physical Therapist
- Flushing, NY
- NPI 1316594831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1134795115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 67TH RD APT 7E",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753016",
"telephone_number": "347-421-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 METROPOLITAN AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113792938",
"telephone_number": "347-421-8173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JISU PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2022-05-09",
"certification_date": "2022-05-08",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "JISU",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "347-421-8173"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.