Organization Active NPI

KMJ Physical Therapy PC

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1710766969
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 27, 2023

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.