Organization Active NPI

Nick Yoon Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1710326772
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
034532 Issued in NY
Legal business name
NICK YOON PHYSICAL THERAPY P.C.
Practice address
139 Centre St
Suite 505
New York, NY 10013-4552
Phone
(212) 274-9870
Fax
(212) 274-9499
NPI assigned
Jun 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Authorized official

Name
Hyun Jong YoonNPI 1780922591
Title
Physical Therapist
Phone
(212) 274-9870

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
Physical Therapy Clinic/Center 261QP2000X 034532 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 505
New York, NY 10013-4552

Mailing address

139 Centre St
Suite 505
New York, NY 10013-4552
Phone (212) 274-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130927000021 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860636156 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

21519 39th Ave
Bayside, NY 11361
Phone (718) 229-0707

849 57th St
#802
Brooklyn, NY 11220
Phone (347) 400-7258

139 Centre St
Ste 505
New York, NY 10013
Phone (212) 274-9870

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1710326772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-274-9870",
            "fax_number": "212-274-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-274-9870",
            "fax_number": "212-274-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK YOON PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "HYUN JONG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "212-274-9870"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "034532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.