Organization Active NPI

JS Physical Therapy PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1295256683
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035505 Issued in NY
Legal business name
JS PHYSICAL THERAPY PC
Practice address
108 E 16TH St FL 4
New York, NY 10003-2111
Phone
(212) 228-5688
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Authorized official

Name
Seungye Jeon
Title
Physical Therapist
Phone
(347) 933-2448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 035505 NY Primary

Addresses

Primary practice location

108 E 16TH St FL 4
New York, NY 10003-2111

Mailing address

14447 38TH Ave Apt 2
Flushing, NY 11354-5954

National Provider Directory

National Provider Directory

Locations

13508 Roosevelt Ave
Flushing, NY 11354
Phone (919) 329-0966

108 E 16th St
Fl 4
New York, NY 10003
Phone (212) 228-5688

Practitioners & affiliated clinicians

Practitioners 3

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1295256683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14447 38TH AVE APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 16TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032111",
            "telephone_number": "212-228-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "SEUNGYE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-933-2448"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035505",
            "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 Jul 6, 2017; 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.