Hole in One Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030357 Issued in NY

Legal business name

HOLE IN ONE PHYSICAL THERAPY PC

Practice address

14226 37TH Ave
#C Basement
Flushing, NY 11354-4103

Phone

(718) 353-7575

Fax

(718) 353-7577

NPI assigned

Jan 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Seong Hoon Moon, DPTNPI 1194154815

Title

President

Phone

(516) 672-2886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Seong Hoon Moon, D.P.T

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1194154815
  Medicare reassignment Authorized official
• Fei Chen

  • Acupuncturist
  • New York, NY
  • NPI 1528916319

  Single Specialty

  NPD (past)
• Xue Li, ACUPUNCTURISTS

  • Acupuncturist
  • Flushing, NY
  • NPI 1699249276
  NPD (past)

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452988800000",
    "number": "1457718785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14226 37TH AVE",
            "address_2": "#C BASEMENT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544103",
            "telephone_number": "718-353-7575",
            "fax_number": "718-353-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14226 37TH AVE",
            "address_2": "#C BASEMENT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544103",
            "telephone_number": "718-353-7575",
            "fax_number": "718-353-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLE IN ONE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-17",
        "last_updated": "2016-01-17",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SEONG HOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-672-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryan Forbes Hoelzer, LMSW
• Juliana Hoff, PA-C, MS
• Marsha Hoffmann, RD, CDN
• Kristen Holby, RPH, PHARMD
• Nicole Holder, REGISTERED NURSE
• Sumakmur Holiwell
• Tziporah Hollander, MSED
• Hollis Dental Care PC
• Peter Hollis
• Holly Dental Services P.C.

• 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 Jan 17, 2016; 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.