Active NPI
KMJ Physical Therapy PC
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1710766969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KMJ PHYSICAL THERAPY PC
- Practice address
- 521 S Broad St Apt 209
Philadelphia, PA 19147-1060 - Phone
- (929) 494-5047
- NPI assigned
- Sep 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Min Ji Kang
- Title
- Physical Therapist
- Phone
- (929) 494-5047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
521 S Broad St Apt 209
Philadelphia, PA 19147-1060
Mailing address
521 S Broad St Apt 209
Philadelphia, PA 19147-1060
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1710766969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 S BROAD ST APT 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 S BROAD ST APT 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471060",
"telephone_number": "929-494-5047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMJ PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "MIN JI",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "929-494-5047"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.