Active NPI
Sunghee Kwak, P.T.
- Physical Therapist
- Flushing, NY
National Provider Identifier
1619282555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024215
- Practice address
- 132-26 Avery Ave.
1A
Flushing, NY 11355 - Phone
- (917) 671-8740
- NPI assigned
- Aug 16, 2010
- Last updated
- May 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024215 | NY | Primary |
Addresses
Primary practice location
132-26 Avery Ave.
1A
Flushing, NY 11355
Mailing address
132-26 Avery Ave.
1A
Flushing, NY 11355
Phone (917) 671-8740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024215 | NY | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bayside, NY
- NPI 1285919225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1619282555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132-26 AVERY AVE.",
"address_2": "1A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "917-671-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132-26 AVERY AVE.",
"address_2": "1A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "917-671-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "SUNGHEE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024215",
"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 May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.