Ny Pride Phyiscal Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019722-1 Issued in NY

Legal business name

NY PRIDE PHYISCAL THERAPY, P.C.

Practice address

13682 39TH Ave
6TH Floor
Flushing, NY 11354-5515

Phone

(718) 445-2346

Fax

(718) 445-2348

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dohyung Kim, P.T.

Title

President

Phone

(718) 445-2346

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1639562556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13682 39TH AVE",
            "address_2": "6TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545515",
            "telephone_number": "718-445-2346",
            "fax_number": "718-445-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13682 39TH AVE",
            "address_2": "6TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545515",
            "telephone_number": "718-445-2346",
            "fax_number": "718-445-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PRIDE PHYISCAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOHYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-445-2346",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019722-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ny Northern Pharmacy, LLC (Northern Pharmacy)
• Ny Northern Pharmacy2 Inc
• Ny Optometrist Vision PC
• Ny Otolaryngology PLLC
• Ny Premier Medical Practice, PC (NY Spine Care Interventional Pain Management)
• Ny Queens NP Adult Health Care PC
• Ny Queens OB-GYN
• Ny Service for Infectious Diseases, Medical P.C.
• Ny Young Physical Therapy
• Ny28 Inc

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Mar 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.