Individual provider Active NPI

Sung Min Choi, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1285284166
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044171-1 Issued in NY
Practice address
130 W 42ND St Ste 1055
New York, NY 10036-7901
Phone
(212) 308-9595
NPI assigned
Sep 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 044171-1 NY Primary

Addresses

Primary practice location

130 W 42ND St Ste 1055
New York, NY 10036-7901

Mailing address

14485 Roosevelt Ave Apt 4D
Flushing, NY 11354-6274
Phone (347) 559-2366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210204000379 NY Practitioner - Physical Therapist in Private Practice 6608280540 Reassigns benefits to 1 organization
I20241029003124 NJ Practitioner - Physical Therapist in Private Practice 6608280540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Bigler St
Unit a
Fort Lee, NJ 07024-7300
Phone (201) 777-4439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044171-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond N Cecora PT PC Physical Therapist CurrentSince Jan 15, 2021 Accepting new patients
Bigler Physical Therapy P.C. Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Core Bridge Physical Therapy P.C. Physical Therapist Current Accepting new patients
Dynamic Medical Care PC CurrentSince Sep 15, 2019 Accepting new patients
Hand Bridge Physical Therapy PC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

120 Sylvan Ave
Ste 102
Englewood Cliffs, NJ 07632
Phone (201) 759-2423

2000 Bigler St
Unit A
Fort Lee, NJ 07024
Phone (201) 777-4439

111 Grand Ave
Massapequa, NY 11758
Phone (516) 798-2635

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

280 Madison Ave
Rm 1211
New York, NY 10016
Phone (212) 683-2122

130 W 42nd St
Ste 1055
New York, NY 10036
Phone (212) 308-9595

Organizations & group practices 5

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1285284166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14485 ROOSEVELT AVE APT 4D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546274",
            "telephone_number": "347-559-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 42ND ST STE 1055",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367901",
            "telephone_number": "212-308-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUNG MIN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044171-1",
            "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 Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.