Organization Active NPI

One Therapeutic Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1508051897
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
016019 Issued in NY
Legal business name
ONE THERAPEUTIC PHYSICAL THERAPY P.C.
Practice address
16326 Northern Blvd 1St FL
Flushing, NY 11358
Phone
(718) 358-4080
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Mr. Hyunwon Kang, PT
Title
President
Phone
(718) 358-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 016019 NY Primary

Addresses

Primary practice location

16326 Northern Blvd 1St FL
Flushing, NY 11358

Mailing address

16326 Northern Blvd 1St FL
Flushing, NY 11358

Other identifiers 1

IdentifierTypeStateIssuer
1427134154OtherNYNPI

National Provider Directory

National Provider Directory

Locations

16326 Northern Blvd
Fl 1
Flushing, NY 11358
Phone (718) 358-4080

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1508051897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16326 NORTHERN BLVD 1ST FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16326 NORTHERN BLVD 1ST FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-358-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE THERAPEUTIC PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HYUNWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-358-4080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "016019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427134154",
            "state": "NY"
        }
    ],
    "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 Mar 5, 2013; 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.