NPIMap

Organization Active NPI

SK Physical Therapy PC

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1639543499
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030366 Issued in NY
Legal business name
SK PHYSICAL THERAPY PC
Practice address
9011 Corona Ave
Elmhurst, NY 11373-4046
Phone
(718) 662-1586
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Seong-Sik Kim, DPTNPI 1598053530
Title
President
Phone
(718) 939-7999

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 030366 NY Primary

Addresses

Primary practice location

9011 Corona Ave
Elmhurst, NY 11373-4046

Mailing address

9011 Corona Ave
Elmhurst, NY 11373-4046
Phone (718) 662-1586

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": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1639543499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734046",
            "telephone_number": "718-662-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734046",
            "telephone_number": "718-662-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEONG-SIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-939-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.