Active NPI
Park & Park Healthy Choice LLC
- Physical Therapist
- Flushing, NY
National Provider Identifier
1417252552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025679
- Legal business name
- PARK & PARK HEALTHY CHOICE LLC
- Practice address
- 142-25 37TH Ave., #C3
Flushing, NY 11354-6530 - Phone
- (718) 359-3777
- NPI assigned
- Jan 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kwan Park, P.T.
- Title
- P.T.
- Phone
- (718) 359-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025679 | NY | Primary |
Addresses
Primary practice location
142-25 37TH Ave., #C3
Flushing, NY 11354-6530
Mailing address
142-25 37TH Ave., #C3
Flushing, NY 11354-6530
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295568000000",
"number": "1417252552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142-25 37TH AVE., #C3",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142-25 37TH AVE., #C3",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546530",
"telephone_number": "718-359-3777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK & PARK HEALTHY CHOICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "KWAN",
"authorized_official_title_or_position": "P.T.",
"authorized_official_telephone_number": "718-359-3777",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "025679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.