Organization Active NPI

Youngjin Physical Therapy PC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1326634601
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
YOUNGJIN PHYSICAL THERAPY PC
Practice address
11 E 47TH St FL 2
New York, NY 10017-1919
Phone
(212) 355-3377
Fax
(212) 355-3377
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Dr. Young Jin Kwon, PT, DPT
Title
Dr
Phone
(212) 355-3377

Specialties & licenses 1

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

Addresses

Primary practice location

11 E 47TH St FL 2
New York, NY 10017-1919

Mailing address

11 E 47TH St FL 2
New York, NY 10017-1919
Phone (516) 265-1864

National Provider Directory

National Provider Directory

Locations

100 N Belle Mead Ave
Ste C
East Setauket, NY 11733
Phone (631) 241-0058

11 E 47th St
Fl 2
New York, NY 10017
Phone (212) 355-3377

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1326634601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 47TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171919",
            "telephone_number": "516-265-1864",
            "fax_number": "646-797-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 47TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171919",
            "telephone_number": "212-355-3377",
            "fax_number": "212-355-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGJIN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "YOUNG JIN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "212-355-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Dec 20, 2023; 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.