Advanced Care Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANCED CARE PHYSICAL THERAPY, P.C.

Doing business as

Palisades Physical Therapy

Practice address

232 Broad Ave FRNT 2a
Palisades Park, NJ 07650-1577

Phone

(201) 500-5571

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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

Seungyoul Yi, DPTNPI 1205010576

Title

President

Phone

(201) 500-5571

Specialties & licenses 1

Addresses

Other names 1

• Palisades Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Seungyoul Yi, RPT

  • Physical Therapist
  • Palisades Park, NJ
  • NPI 1205010576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1699374595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE FRNT 2A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501577",
            "telephone_number": "201-500-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE FRNT 2A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501577",
            "telephone_number": "201-500-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "SEUNGYOUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-500-5571",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palisades Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebekah An
• Anthony M Susinno MD

• Physical Therapist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.