NPIMap

Organization Active NPI

Olive Tree PT Rehab, P.C.

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1588018790
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
037344 Issued in NY
Legal business name
OLIVE TREE PT REHAB, P.C.
Practice address
150-15 41St Ave
2Floor
Flushing, NY 11354
Phone
(718) 321-8522
Fax
(718) 321-8524
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Yongha KimNPI 1679985535
Title
President
Phone
(571) 835-5038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 037344 NY Primary

Addresses

Primary practice location

150-15 41St Ave
2Floor
Flushing, NY 11354

Mailing address

150-15 41St Ave
2Floor
Flushing, NY 11354
Phone (718) 321-8522

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, 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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1588018790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150-15 41ST AVE",
            "address_2": "2FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150-15 41ST AVE",
            "address_2": "2FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE PT REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-835-5038"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "037344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.