Time Square Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TIME SQUARE PHYSICAL THERAPY PC

Practice address

115 W 45TH St Ste 503
New York, NY 10036-4005

Phone

(646) 983-0085

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Jessie KimNPI 1306375258

Title

Owner

Phone

(646) 983-0085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessie Kim

  • Physical Therapist
  • New York, NY
  • NPI 1306375258
  NPD Authorized official

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704499200000",
    "number": "1457016255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 45TH ST STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364005",
            "telephone_number": "646-983-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 45TH ST STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364005",
            "telephone_number": "646-983-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME SQUARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-983-0085"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thomas Timberlake, MD PHD
• Rachael Timberlake, L.AC.
• Annette Timbo, LPN
• Time Medical PC
• Time Square Medical PC
• Time Square Podiatry PC
• Edelyne Marie Time
• Timeless Physical Therapy PC
• Times Square Dental, PLLC
• Nicole Elaye Timi, WHNP-BC

• Physical Therapist in New York, NY
• Providers in New York, 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 Jan 6, 2024; 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.