Bonghak Ji, PT. DPT. OCS. CSCS.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

15007 Bayside Ave FL 1
Flushing, NY 11354-2432

Phone

(347) 209-3684

Fax

(315) 570-9902

NPI assigned

May 21, 2019

Last updated

Apr 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ji Physical Therapy PC

  • Physical Therapist
  • Woodside, NY
  • NPI 1124776307
  Medicare reassignment Authorized official
• Angel Alliance Physical Therapy & Acupuncture PLLC

  • Physical Therapist
  • Manhasset, NY
  • NPI 1831856541
  Medicare reassignment NPD
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062

  Single Specialty

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Rockville Centre, NY
  • NPI 1205296902

  Physical Therapist

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Coram, NY
  • NPI 1699225359

  Physical Therapist

  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1144887597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE APT 6CN",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542640",
            "telephone_number": "347-209-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 BAYSIDE AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542432",
            "telephone_number": "347-209-3684",
            "fax_number": "315-570-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "BONGHAK",
        "name_prefix": "Dr.",
        "credential": "PT. DPT. OCS. CSCS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035793",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virendra L Jhaveri, DDS
• JHC OT LLC
• Johnatan Jhon, MD
• Ji Han, MD, PLLC
• Ji Medical Group PC
• Lin Ji
• Min Soo Ji, LAC
• Xiaoou Ji, NP, FNP-C
• Yue Ji
• Ying Jia

• Orthopedic Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; 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.