Organization Active NPI

Physioelements Physical Therapy, PLLC

  • Physical Therapist
  • Manhasset, NY
National Provider Identifier
1275874745
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026513 Issued in NY
Legal business name
PHYSIOELEMENTS PHYSICAL THERAPY, PLLC
Practice address
1615 Northern Blvd Ste 202
Manhasset, NY 11030-3033
Phone
(516) 365-3455
Fax
(516) 365-3655
NPI assigned
Mar 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mrs. Nara Yoon, P.T, D.P.T
Title
Director, Physical Therapist
Phone
(646) 206-4228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 026513 NY Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1615 Northern Blvd Ste 202
Manhasset, NY 11030-3033

Mailing address

1615 Northern Blvd Ste 202
Manhasset, NY 11030-3033
Phone (516) 365-3455

Other practice location 1

45 Berry Hill Rd
Syosset, NY 11791-2624
Phone (646) 206-4228

National Provider Directory

National Provider Directory

Locations

1615 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 365-3455

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": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1275874745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD STE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-365-3455",
            "fax_number": "516-365-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NORTHERN BLVD STE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303033",
            "telephone_number": "516-365-3455",
            "fax_number": "516-365-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Berry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117912624",
            "country_code": "US",
            "telephone_number": "646-206-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOELEMENTS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "NARA",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-206-4228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T, D.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026513",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.