Ny Core Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NY CORE PHYSICAL THERAPY, P.C.

Practice address

370 Hillside Ave
Williston Park, NY 11596-2106

Phone

(516) 408-5115

Fax

(718) 423-5105

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Sejoong Park, DPTNPI 1285961177

Title

DPT/President

Phone

(718) 423-5100

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Ny Core Physical Therapy P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ny Core Physical Therapy, PC

  • Durable Medical Equipment & Medical Supplies
  • Bayside, NY
  • NPI 1316579857
  NPD tax ID

Practitioners 1

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

• SE Joong Park, DPT

  • Physical Therapist
  • Bayside, NY
  • NPI 1285961177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1497313274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-423-5100",
            "fax_number": "718-423-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962106",
            "telephone_number": "516-408-5115",
            "fax_number": "718-423-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY CORE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEJOONG",
        "authorized_official_title_or_position": "DPT/PRESIDENT",
        "authorized_official_telephone_number": "718-423-5100",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Norris, D.C.
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• Michael Neville Norton
• Number of This Notice: CP 575 G Nurse Practitioner in Psychiatry Care for Women PLLC
• Ny Therapeutic Specialists, Inc
• Varsha Pahwa
• Robert L. Paltzik, MD
• Melinda Pan
• Joseph L Pando, PH.D.

• Physical Therapy Clinic/Center in Williston Park, NY
• Providers in Williston Park, 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 Mar 2, 2025; 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.