Life Synergy Physical Therapy P C

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

030096 Issued in NY

Legal business name

LIFE SYNERGY PHYSICAL THERAPY P C

Practice address

13440 Cherry Ave # S2
Flushing, NY 11355-4796

Phone

(929) 669-9899

Fax

(718) 799-0903

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Bo-Kwan Kang, DPTNPI 1649414046

Title

Owner

Phone

(917) 204-5978

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, and the practitioner matching its NPPES authorized official.

• Bo-Kwan Kang, PT, DPT

  • Physical Therapist
  • Flushing, NY
  • NPI 1649414046
  Medicare reassignment Authorized official
• Geon Kim

  • Physical Therapist
  • Flushing, NY
  • NPI 1649169905
  NPD
• Chang Joon Won

  • Acupuncturist
  • Flushing, NY
  • NPI 1922425131
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1508283987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 CHERRY AVE # S2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554796",
            "telephone_number": "929-669-9899",
            "fax_number": "718-799-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 CHERRY AVE # S2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554796",
            "telephone_number": "929-669-9899",
            "fax_number": "718-799-0903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14359 37th Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545729",
            "country_code": "US",
            "telephone_number": "917-563-5820",
            "fax_number": "917-563-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE SYNERGY PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BO-KWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-204-5978",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Lien, R.N.
• Dina Joy Lieser, M.D.
• Kathleen Ming Liew, PA
• Tiffany Liew
• Life Improvement Homecare, Inc.
• Life Target PT, P.C.
• Lifecare Medical, PLLC
• Lifechek Corp
• Lifeline DME LLC
• Lighthouse Behavior Analysts, PLLC

• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, 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 4, 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.