Ny Astoria Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NY ASTORIA PHYSICAL THERAPY PC

Practice address

13314 41St Ave FL 8
Flushing, NY 11355-3629

Phone

(718) 888-0065

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Ji-Yeon YoonNPI 1952949422

Title

DPT/President

Phone

(914) 426-6065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Ji-Yeon Yoon

  • Physical Therapist
  • Astoria, NY
  • NPI 1952949422
  Medicare reassignment Authorized official
• Fei Chen

  • Acupuncturist
  • New York, NY
  • NPI 1528916319

  Single Specialty

  NPD (past)
• Xue Li, ACUPUNCTURISTS

  • Acupuncturist
  • Flushing, NY
  • NPI 1699249276
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1689386062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 JACKSON AVE APT 1011",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014947",
            "telephone_number": "914-426-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13314 41ST AVE FL 8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-888-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY ASTORIA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JI-YEON",
        "authorized_official_title_or_position": "DPT/PRESIDENT",
        "authorized_official_telephone_number": "914-426-6065"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.