Inje Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INJE PHYSICAL THERAPY P.C.

Practice address

7019 Parsons Blvd
Fresh Meadows, NY 11365-3049

Phone

(516) 203-8222

Fax

(516) 203-8222

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Jaeyoung Lee, PTNPI 1396238523

Title

Doctor of Physical Therapy

Phone

(917) 293-8329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Jaeyoung Lee

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1396238523
  Medicare reassignment Authorized official
• Byoung Man Chae

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1669288858
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1598320285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EASTERN DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 PARSONS BLVD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653049",
            "telephone_number": "516-203-8222",
            "fax_number": "516-203-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 164th St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113653162",
            "country_code": "US",
            "telephone_number": "917-293-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INJE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAEYOUNG",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "917-293-8329",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Ilyayev
• Sara Ilyayeva
• Imperative Physical Therapy PC
• Inessas Ny Corp
• Infinite RX Corp (infinite pharmacy)
• Irina Inoyatova
• Integrated Rehab Professionals OT PT PLLC
• Intercity Gastroenterology P.C
• Timothy Ip, O.D
• Alexandra Iskhakov, FNP

• Physical Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Jun 18, 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.