Organization Active NPI

Sunghee Physical Therapy, PC.

  • Physical Therapist
  • Bayside, NY
National Provider Identifier
1285919225
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024215 Issued in NY
Legal business name
SUNGHEE PHYSICAL THERAPY, PC.
Practice address
3521 205TH St
Suite 312
Bayside, NY 11361-1222
Phone
(718) 321-3962
Fax
(718) 321-3965
NPI assigned
Oct 20, 2011
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Sunghee KwakNPI 1619282555
Title
Physical Therapist
Phone
(917) 671-8740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 024215 NY Primary

Addresses

Primary practice location

3521 205TH St
Suite 312
Bayside, NY 11361-1222

Mailing address

14627 Beech Ave
Suite 1C
Flushing, NY 11355-2172
Phone (718) 321-3962

Other identifiers 1

IdentifierTypeStateIssuer
G300031896OtherPTAN

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1285919225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 205TH ST",
            "address_2": "SUITE 312",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611222",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGHEE PHYSICAL THERAPY, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "SUNGHEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-671-8740"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G300031896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.