Seoul Physical Therapy P.C

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SEOUL PHYSICAL THERAPY P.C

Practice address

248-25 Northen Blvd Ste 2B
Little Neck, NY 11362

Phone

(347) 235-4742

Fax

(718) 691-4366

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Bongyong Choi, DPTNPI 1073076568

Title

President

Phone

(347) 235-4742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Seoul Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seoul Physical Therapy

  • Physical Therapist
  • Little Neck, NY
  • NPI 1871203125
  NPD tax ID

Practitioners 1

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

• Bongyong Choi

  • Physical Therapist
  • Little Neck, NY
  • NPI 1073076568
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1235849225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248-25 NORTHEN BLVD STE 2B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "347-235-4742",
            "fax_number": "718-691-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248-25 NORTHEN BLVD STE 2B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "347-235-4742",
            "fax_number": "718-691-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOUL PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BONGYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-235-4742",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommaso Schettini
• Alicia E Schlesinger, RN
• Josephine N Schmitt, PT, DPT, MS
• Phyllis Schwartz, LCSW
• Seoul Physical Therapy
• Paul Sforza, M.D.
• Sharon Greenberg, MD PC
• Myung Seok Shim
• Grace Eun Jin Shin, D.D.S
• Sally Shin, OTR/L

• Physical Therapy Clinic/Center in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.