Organization Active NPI

Hudson Health Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Nanuet, NY
National Provider Identifier
1144674466
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
028563 Issued in NY
Legal business name
HUDSON HEALTH PHYSICAL THERAPY, PLLC
Practice address
25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone
(845) 623-6333
Fax
(845) 623-5333
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Kay Jung, PTNPI 1881910685
Title
Physical Therapist/Owner
Phone
(845) 623-6333

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 028563 NY Primary

Addresses

Primary practice location

25 Smith St Ste 202
Nanuet, NY 10954-2971

Mailing address

25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone (845) 623-6333

Other names 1

  • Hudson Health Physical Therapy, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161025000668 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507144615 Receives reassigned benefits from 1 practitioner
Practice locations: Nanuet, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1144674466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEALTH PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "845-623-6333",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Health Physical Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.