P Care Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

P CARE PHYSICAL THERAPY P.C.

Practice address

3901 Main St Ste 310
Flushing, NY 11354-5434

Phone

(917) 563-1371

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Miyoung Park, PTNPI 1548929631

Title

Business Owner

Phone

(917) 250-0952

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.

• Miyoung Park

  • Physical Therapist
  • Flushing, NY
  • NPI 1548929631
  Medicare reassignment Authorized official
• Jiho Noh, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1982152823
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1407515489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18919 45TH DR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583412",
            "telephone_number": "917-250-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST STE 310",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545434",
            "telephone_number": "917-563-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P CARE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MIYOUNG",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "917-250-0952",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ovehshalom, OTR/L
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• Jill Owens, LMHC, NCC
• Bridget Osaremen Oyemina
• P & I Dream
• P3 Sonosolutions Inc
• Pace Medical PC
• Seth Pachman
• Ahuva Pacht
• Andrea Liliana Padial, LMSW

• 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 Dec 16, 2021; 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.