Ny Modern Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NY MODERN PHYSICAL THERAPY PLLC

Practice address

3821 150TH St FL 1
Flushing, NY 11354-4927

Phone

(347) 827-0009

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Inhyeok Song, PT, DPT, LACNPI 1326589987

Title

Doctor of Physical Therapy

Phone

(347) 827-0009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Inhyeok Song, PT, DPT, LAC

  • Physical Therapist
  • Flushing, NY
  • NPI 1326589987
  Medicare reassignment Authorized official
• Sujeong Gong

  • Acupuncturist
  • Flushing, NY
  • NPI 1902457740

  Physical Therapist

  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1306497987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 150TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544927",
            "telephone_number": "347-827-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 150TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544927",
            "telephone_number": "347-827-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MODERN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "INHYEOK",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-827-0009",
        "authorized_official_credential": "PT, DPT, LAC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny Health Pharmacy, Inc.
• Ny Heart Pharmacy Inc
• Ny Interventional Pain Medicine PLLC
• Ny Meds Urgent Care PLLC
• Ny Metro Anesthesia PLLC
• Ny Northern Pharmacy, LLC
• Ny Northern Pharmacy2 Inc
• Ny Optometrist Vision PC
• Ny Otolaryngology PLLC
• Ny Premier Medical Practice, PC

• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; 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.

Verify at the official NPI Registry.