NPIMap

Organization Active NPI

Thera Concept Physical Therapy PC

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1639311434
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
24556 Issued in NY
Legal business name
THERA CONCEPT PHYSICAL THERAPY PC
Practice address
1831 Burnett St
Brooklyn, NY 11229-2625
Phone
(718) 339-4460
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Pui ChungNPI 1932340023
Title
Ceo
Phone
(718) 339-4460

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
Pediatric Physical Therapist 2251P0200X 24556 NY Primary

Addresses

Primary practice location

1831 Burnett St
Brooklyn, NY 11229-2625

Mailing address

1831 Burnett St
Brooklyn, NY 11229-2625

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1639311434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 BURNETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 BURNETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292625",
            "telephone_number": "718-339-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA CONCEPT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "PUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-339-4460"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "24556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.