Organization Active NPI

Kata Physical Therapy PC

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1508690934
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KATA PHYSICAL THERAPY PC
Practice address
4746 Vernon Blvd Ste 2
Long Island City, NY 11101-4746
Phone
(347) 575-0004
NPI assigned
Aug 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. Joon Choi, DPTNPI 1699525550
Title
President
Phone
(347) 575-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4746 Vernon Blvd Ste 2
Long Island City, NY 11101-4746

Mailing address

1275 15TH St Apt 3B
Fort Lee, NJ 07024-1908
Phone (347) 575-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912001383 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416497821 Receives reassigned benefits from 1 practitioner
Practice locations: Long Island City, NY

National Provider Directory

National Provider Directory

Locations

4746 Vernon Blvd
Ste 2
Long Island City, NY 11101
Phone (347) 575-0004

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": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1508690934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 15TH ST APT 3B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241908",
            "telephone_number": "347-575-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 VERNON BLVD STE 2",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014746",
            "telephone_number": "347-575-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-575-0004",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.