Individual provider Active NPI

Henry Keung Mui, P.T.

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1205883816
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012754 Issued in NY
Practice address
4161 Kissena Blvd
Suite 6
Flushing, NY 11355-3105
Phone
(718) 463-6335
Fax
(718) 463-6087
NPI assigned
May 28, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012754 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Suite 6
Flushing, NY 11355-3105

Mailing address

6501 Bay Pkwy
C Level
Brooklyn, NY 11204-3948
Phone (718) 238-9392

Other identifiers 1

IdentifierTypeStateIssuer
01949637MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000396 NY Practitioner - Physical Therapist in Private Practice 2062411903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TLC Rehabilitation Physical Therapy PCGroup PAC ID 5698667434, 4 clinicians

Practice addresses (Care Compare)

4161 Kissena Blvd
Suite 6
Flushing, NY 11355-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012754NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Rehabilitation Physical Therapy PC Physical Therapist CurrentSince Jan 2, 2003 Accepting new patients

Locations

4161 Kissena Blvd
Ste 6
Flushing, NY 11355
Phone (718) 461-6990

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1205883816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BAY PKWY",
            "address_2": "C LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043948",
            "telephone_number": "718-238-9392",
            "fax_number": "718-238-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE 6",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-463-6335",
            "fax_number": "718-463-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI",
        "first_name": "HENRY",
        "middle_name": "KEUNG",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01949637",
            "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 May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.