Kidsperfect PT PC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

24226 Issued in NY

Legal business name

KIDSPERFECT PT PC

Practice address

67 Forsythia LN
Jericho, NY 11753-2335

Phone

(917) 415-0746

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Peisun Lee, PT

Title

President

Phone

(917) 415-0746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1326574054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FORSYTHIA LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532335",
            "telephone_number": "917-415-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FORSYTHIA LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532335",
            "telephone_number": "917-415-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPERFECT PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PEISUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-415-0746",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "24226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaveh Alizadeh MD of Long Island, PC
• Inho Stephen Kay, M.D.
• Lauren Kaye
• Jeffrey David Kent, M.D.
• Enoch Ki
• Hyeree Kim
• Ji Sung Kim, L.AC.
• Niki G King, MHC-LP
• Frances Roberta Kleinman, M.A. CCC/SLP
• Eunhye Ko, PT. PHD

• Pediatric Physical Therapist in Jericho, NY
• Providers in Jericho, NY by specialty
• Pediatric Physical Therapist in New York

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