Organization Active NPI

KHK PT, PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1184950891
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KHK PT, PC
Practice address
3518 150TH PL Ste 1a
Flushing, NY 11354-4922
Phone
(718) 445-4370
Fax
(718) 445-4378
NPI assigned
Oct 30, 2009
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Jennie Yu
Title
Manager
Phone
(718) 445-4370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3518 150TH PL Ste 1a
Flushing, NY 11354-4922

Mailing address

3518 150TH PL
St 1a
Flushing, NY 11354-4922

Other identifiers 1

IdentifierTypeStateIssuer
03216222MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000437 NY Part B Supplier - Clinic/Group Practice 8426198904 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14340 38th Ave
Ste 204
Flushing, NY 11354
Phone (718) 445-4370

3518 150th Pl
#1A
Flushing, NY 11354
Phone (718) 445-4370

3518 150th Pl
Ste 1A
Flushing, NY 11354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1184950891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 150TH PL",
            "address_2": "ST 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 150TH PL STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544922",
            "telephone_number": "718-445-4370",
            "fax_number": "718-445-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHK PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-445-4370"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03216222",
            "state": "NY"
        }
    ],
    "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 Jul 9, 2026; 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.