Haydn Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HAYDN PHYSICAL THERAPY PC

Practice address

25512 Northern Blvd
Little Neck, NY 11362-1470

Phone

(718) 281-4400

Fax

(718) 281-4402

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Changyoung KimNPI 1124363916

Title

President/Owner

Phone

(718) 281-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Changyoung Kim

  • Physical Therapist
  • Flushing, NY
  • NPI 1124363916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1184023574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25512 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621470",
            "telephone_number": "718-281-4400",
            "fax_number": "718-281-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25512 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621470",
            "telephone_number": "718-281-4400",
            "fax_number": "718-281-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANGYOUNG",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-281-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Hagan, RN
• Bekim Hajrizi
• Jonathan E Halter, RN
• Harriet Chervon Duffy, Inc.
• Jalana Shereese Harris, PHD, LCSW-R
• Dahyun Heo
• Herman B. Berg M.D., P.C.
• Judith I Hirsch, M.D.
• Shelley Hoffman, LCSW
• Susanne Holzer Miller, MS

• 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 Aug 21, 2014; 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.