Active NPI
Youngs Physical Therapy P C
- Physical Therapist
- Bayside, NY
National Provider Identifier
1295992014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16067
- Legal business name
- YOUNGS PHYSICAL THERAPY P C
- Practice address
- 1417 Bell Blvd
Bayside, NY 11360-1211 - Phone
- (718) 352-8010
- Fax
- (718) 352-8012
- NPI assigned
- May 20, 2008
- 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
- Youngsoo Oh, P.T., L.AC
- Title
- Owner
- Phone
- (718) 352-8010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 03477 | NY | |
| Physical Therapist | 225100000X | 16067 | NY | Primary |
Addresses
Primary practice location
1417 Bell Blvd
Bayside, NY 11360-1211
Mailing address
1417 Bell Blvd
Bayside, NY 11360-1211
Phone (718) 352-8010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02762316 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1410 Broadway
Ste 202
New York, NY 10018
Phone (212) 354-2225
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Little Neck, NY
- NPI 1528187507
-
- Internal Medicine Physician
- New York, NY
- NPI 1932290954
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1043728645
-
- Internal Medicine Physician
- Bayside, NY
- NPI 1003997438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1295992014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601211",
"telephone_number": "718-352-8010",
"fax_number": "718-352-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601211",
"telephone_number": "718-352-8010",
"fax_number": "718-352-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNGS PHYSICAL THERAPY P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "YOUNGSOO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-352-8010",
"authorized_official_credential": "P.T., L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "03477",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "16067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02762316",
"state": "NY"
}
],
"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 Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.