Individual provider Active NPI

Eunhye Ko, PT. PHD

  • Physical Therapist
  • Jericho, NY
National Provider Identifier
1265724272
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032168 Issued in NY
Practice address
42 Flower LN
Jericho, NY 11753-2312
Phone
(201) 759-6500
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 032168 NY Primary

Addresses

Primary practice location

42 Flower LN
Jericho, NY 11753-2312

Mailing address

42 Flower LN
Jericho, NY 11753-2312
Phone (201) 759-6500

Other identifiers 1

IdentifierTypeStateIssuer
03651838MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Care PT Rehab PC Physical Therapist CurrentSince Sep 29, 2019 Accepting new patients
John Kim Acupunture P.C. Past Accepting new patients
Grace Physical Therapy P.C. Past Accepting new patients

Locations

4212 164th St
#1
Flushing, NY 11358

4212 164th St
Fl 1
Flushing, NY 11358
Phone (718) 701-5500

Organizations & group practices 3

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1265724272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FLOWER LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532312",
            "telephone_number": "201-759-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 FLOWER LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532312",
            "telephone_number": "201-759-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "EUNHYE",
        "credential": "PT. PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03651838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.