Organization Active NPI

Inner Balance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1710862693
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INNER BALANCE PHYSICAL THERAPY PC
Practice address
139 Fulton St RM 717
New York, NY 10038-2545
Phone
(347) 906-2288
NPI assigned
Aug 8, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Kyungjun LeeNPI 1659905289
Title
President
Phone
(347) 906-2288

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 NU Primary

Addresses

Primary practice location

139 Fulton St RM 717
New York, NY 10038-2545

Mailing address

22 Chapel St Apt 5L
Brooklyn, NY 11201-2950

National Provider Directory

National Provider Directory

Locations

139 Fulton St
Rm 717
New York, NY 10038
Phone (347) 906-2288

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1710862693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHAPEL ST APT 5L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 717",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382545",
            "telephone_number": "347-906-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYUNGJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-906-2288"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Aug 8, 2025; 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.