Organization Active NPI

Green Care Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1255856837
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
032636 Issued in NY
Legal business name
GREEN CARE PHYSICAL THERAPY, P.C.
Practice address
363 7TH Ave FL 11
New York, NY 10001-3904
Phone
(718) 600-5597
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Young Beom Kim, PTNPI 1528326113
Title
PT/President
Phone
(718) 600-5597

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 032636 NY Primary

Addresses

Primary practice location

363 7TH Ave FL 11
New York, NY 10001-3904

Mailing address

3416 Murray LN
Flushing, NY 11354-3951
Phone (646) 483-1068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1255856837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 MURRAY LN",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543951",
            "telephone_number": "646-483-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 7TH AVE FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013904",
            "telephone_number": "718-600-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG BEOM",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "718-600-5597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "032636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.