Four Seasons Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FOUR SEASONS PHYSICAL THERAPY P.C.

Practice address

303 5TH Ave RM 803
New York, NY 10016-6683

Phone

(909) 815-1269

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Taeyong KimNPI 1235597824

Title

Owner

Phone

(909) 815-1269

Specialties & licenses 1

Addresses

Practitioners 1

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

• Taeyong Kim, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1235597824
  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1285417097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166683",
            "telephone_number": "909-815-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-815-1269"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Fountain
• Jennifer Fountain, DDS
• Four Deans Community Outreach Foundation Inc.
• Four K Chemists LLC
• Four Seasons Chiropractic PC
• Monique Foure
• Susan Fournier
• Fourth Avenue Physical Therapy, PLLC
• Elizabeth Anne Fouts-Palmer, MD
• Sheli Fouzailoff, MS, RDN

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.