Blueprint Performance Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BLUEPRINT PERFORMANCE PHYSICAL THERAPY

Practice address

25316 61St Ave Unit 1183
Little Neck, NY 11362-2431

Phone

(917) 685-3336

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Susan Kang, PT, DPT, MSNPI 1902470412

Title

Physical Therapist

Phone

(917) 685-3336

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.

• Susan Kang

  • Physical Therapist
  • Little Neck, NY
  • NPI 1902470412

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1154137131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25316 61ST AVE UNIT 1183",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25316 61ST AVE UNIT 1183",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622431",
            "telephone_number": "917-685-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-685-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Berger
• Dilip Bharne, MD
• Huafen Bi
• Rosemary Bianchini
• Victor Vito Bianco, LCSW
• Blume Licensed Behavior Analysis, PLLC
• Bmi Clinic Corp (Intrimma)
• Lisle Bohan
• Michael A Boxer, M.D.
• Brandywine Assisted Living at Savoy, 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 Dec 5, 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.