New York Physical Therapy & Acupuncture

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014833 Issued in NY

Legal business name

NEW YORK PHYSICAL THERAPY & ACUPUNCTURE

Practice address

41-10 Bowne St
#L1
Flushing, NY 11355

Phone

(718) 353-3836

Fax

(718) 353-3837

NPI assigned

Nov 7, 2007

Organization subpart

Yes

Parent organization

NEW YORK PHYSICAL THERAPY & ACUPUNCTURE PCAs reported in NPPES

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

Authorized official

Name

Seong Shik KangNPI 1043359375

Title

Physical Therapist

Phone

(718) 353-3836

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

New York Physical Therapy Acupuncture

Locations

Practitioners 1

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

• Seongshik Kang, MS PT LAC

  • Physical Therapist
  • Flushing, NY
  • NPI 1043359375

  Acupuncturist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1386824324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-10 BOWNE ST",
            "address_2": "#L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-353-3836",
            "fax_number": "718-353-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-10 BOWNE ST",
            "address_2": "#L1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-353-3836",
            "fax_number": "718-353-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PHYSICAL THERAPY & ACUPUNCTURE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK PHYSICAL THERAPY & ACUPUNCTURE PC",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SEONG SHIK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-353-3836"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02751811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New York League for Early Learning - the Clearview School
• New York League for Early Learning - the Clearview School
• New York Medical Diagnostic Imaging PC
• New York Medical Diagnostic Imaging PC
• New York Network Managment
• New York Physical Therapy Rehabilitation Services
• New York Presbyterian Queens
• New York Presbyterian Queens
• New York Presbyterian-Queens
• New York Presbyterian-Queens

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.