Organization Active NPI

Ryan J King Physical Therapy PC

  • Physical Therapist
  • East Elmhurst, NY
National Provider Identifier
1548626542
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027964-1 Issued in NY
Legal business name
RYAN J KING PHYSICAL THERAPY PC
Practice address
3054 83Rd St
East Elmhurst, NY 11370-1919
Phone
(917) 648-0265
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Mr. Ryan Jason King, MPT, CLTNPI 1194022954
Title
Physical Therapist
Phone
(917) 648-0265

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 027964-1 NY Primary

Addresses

Primary practice location

3054 83Rd St
East Elmhurst, NY 11370-1919

Mailing address

3054 83Rd St
East Elmhurst, NY 11370-1919
Phone (917) 648-0265

National Provider Directory

National Provider Directory

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1548626542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 83RD ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701919",
            "telephone_number": "917-648-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 83RD ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701919",
            "telephone_number": "917-648-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN J KING PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-648-0265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, CLT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.