Organization Active NPI

Lion Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Long Island City, NY
National Provider Identifier
1225639842
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LION PHYSICAL THERAPY PLLC
Practice address
2420 Jackson Ave Ste 205
Long Island City, NY 11101-4332
Phone
(347) 561-8002
Fax
(347) 905-4223
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
David Jung, DPTNPI 1306363312
Title
Owner/Physical Therapist
Phone
(347) 561-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2420 Jackson Ave Ste 205
Long Island City, NY 11101-4332

Mailing address

2420 Jackson Ave Ste 205
Long Island City, NY 11101-4332
Phone (347) 561-8002

Other practice location 1

51 Nassau Ave Ste 1C
Brooklyn, NY 11222-3170
Phone (347) 561-8002

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.lionphysicaltherapy.com Direct

National Provider Directory

National Provider Directory

Locations

51 Nassau Ave
Ste 1C
Brooklyn, NY 11222
Phone (347) 561-8002

2420 Jackson Ave
Ste 205
Long Island City, NY 11101
Phone (347) 561-8002

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1225639842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 JACKSON AVE STE 205",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014332",
            "telephone_number": "347-561-8002",
            "fax_number": "347-905-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 JACKSON AVE STE 205",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014332",
            "telephone_number": "347-561-8002",
            "fax_number": "347-905-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Nassau Ave Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112223170",
            "country_code": "US",
            "telephone_number": "347-561-8002",
            "fax_number": "347-905-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LION PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-561-8002",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.lionphysicaltherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2420 Jackson Ave Ste 205",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111014332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.