Organization Active NPI

Nara Physical Therapy Chiropractic & Acupuncture PLLC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1164087045
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NARA PHYSICAL THERAPY CHIROPRACTIC & ACUPUNCTURE PLLC
Practice address
16410 Crocheron Ave
Flushing, NY 11358-2016
Phone
(718) 445-6272
Fax
(718) 445-6274
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Dr. Kwangchul Shin, PT
Title
Owner
Phone
(718) 445-6272

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16410 Crocheron Ave
Flushing, NY 11358-2016

Mailing address

16410 Crocheron Ave
Flushing, NY 11358-2016
Phone (718) 445-6272

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1164087045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582016",
            "telephone_number": "718-445-6272",
            "fax_number": "718-445-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 CROCHERON AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582016",
            "telephone_number": "718-445-6272",
            "fax_number": "718-445-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARA PHYSICAL THERAPY CHIROPRACTIC & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "KWANGCHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-445-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "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 6, 2019; 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.