Active NPI
Sunghee Physical Therapy, PC.
- Physical Therapist
- Bayside, NY
National Provider Identifier
1285919225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024215
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sunghee Kwak
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G300031896 | Other | PTAN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Flushing, NY
- NPI 1619282555
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.