Organization Active NPI

Good Care Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Elmont, NY
National Provider Identifier
1568868354
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
032250 Issued in NY
Legal business name
GOOD CARE PHYSICAL THERAPY, P.C.
Practice address
295 Hempstead Tpke
Elmont, NY 11003-1534
Phone
(516) 354-5260
Fax
(516) 354-2410
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Sun Joo Kim, DPTNPI 1639506991
Title
Physical Therapist
Phone
(516) 354-2560

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 Therapy Clinic/Center 261QP2000X 032250 NY Primary

Addresses

Primary practice location

295 Hempstead Tpke
Elmont, NY 11003-1534

Mailing address

295 Hempstead Tpke
Elmont, NY 11003-1534
Phone (516) 354-5260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028000311 NY Part B Supplier - Clinic/Group Practice 3072891910 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

295 Hempstead Tpke
Elmont, NY 11003
Phone (347) 460-8734

18901 Northern Blvd
Ste C2
Flushing, NY 11358
Phone (631) 326-4578

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1568868354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 HEMPSTEAD TPKE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031534",
            "telephone_number": "516-354-5260",
            "fax_number": "516-354-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 HEMPSTEAD TPKE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031534",
            "telephone_number": "516-354-5260",
            "fax_number": "516-354-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN JOO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "516-354-2560",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "032250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.