Individual provider Active NPI

Junsuk Oh

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1225638679
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4369 161St St FL 1
Flushing, NY 11358-3153
Phone
(718) 915-1367
NPI assigned
Oct 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040034 NY
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4369 161St St FL 1
Flushing, NY 11358-3153

Mailing address

24556 63Rd Ave
Little Neck, NY 11362-2021
Phone (347) 705-9310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001340 NY Practitioner - Physical Therapist in Private Practice 4688080120 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy Services PCGroup PAC ID 4486087442, 27 clinicians

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (917) 723-0667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040034NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Jun 24, 2022 Accepting new patients

Locations

616 Bedford Ave
Bellmore, NY 11710
Phone (516) 586-5533

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

8008 45th Ave
Ofc
Elmhurst, NY 11373

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1225638679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24556 63RD AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622021",
            "telephone_number": "347-705-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 161ST ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583153",
            "telephone_number": "718-915-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JUNSUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_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 Mar 2, 2023; 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.