Yk Park Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035075 Issued in NY

Legal business name

YK PARK PHYSICAL THERAPY PC

Practice address

4602 6TH Ave
Brooklyn, NY 11220-1317

Phone

(347) 763-1091

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Yu Kyong Park

Title

President

Phone

(646) 837-1830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194252767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201317",
            "telephone_number": "347-763-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201317",
            "telephone_number": "347-763-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YK PARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YU KYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-837-1830"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 21, 2022; 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.