Myungyoon Ny Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MYUNGYOON NY PHYSICAL THERAPY PC

Practice address

3636 Prince St Ste 308
Flushing, NY 11354-4031

Phone

(917) 563-1560

Fax

(917) 908-0355

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Myung Yoon Seo, DPTNPI 1033661467

Title

President

Phone

(646) 666-0322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Myungyoon Seo

  • Physical Therapist
  • Flushing, NY
  • NPI 1033661467
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1508331943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14348 41ST AVE APT 5F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551870",
            "telephone_number": "917-563-1560",
            "fax_number": "917-908-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 PRINCE ST STE 308",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544031",
            "telephone_number": "917-563-1560",
            "fax_number": "917-908-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 58th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205180",
            "country_code": "US",
            "telephone_number": "347-889-5889",
            "fax_number": "347-889-5873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYUNGYOON NY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "MYUNG YOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-666-0322",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuhyun Jana Myong
• Myrtle Medical Equipment Inc
• John Clyde Mysliwiec, PA
• Myung Gastroenterology, P.C.
• Joon Mo Myung, MD
• Crystal NA
• Julia Nack, SLP
• Ruthlynne S Nack
• Vidhya Nadarajan, MD
• Jackie Nadboy

• 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 Sep 30, 2021; 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.