Active NPI
Liberty Physical Therapy Rehab PC
- Physical Therapist
- Whitestone, NY
National Provider Identifier
1730766734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LIBERTY PHYSICAL THERAPY REHAB PC
- Practice address
- 2014 146TH St Apt D
Whitestone, NY 11357-3412 - Phone
- (917) 763-5612
- Fax
- (888) 502-9368
- NPI assigned
- Mar 25, 2021
- 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
- Dr. Young Sook Choi, PT
- Title
- President
- Phone
- (917) 763-5612
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2014 146TH St Apt D
Whitestone, NY 11357-3412
Mailing address
4312 159TH St Apt 3D
Flushing, NY 11358-3177
Phone (917) 763-5612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 Broadway
Newburgh, NY 12550
Phone (585) 204-3533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1295951358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1730766734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 159TH ST APT 3D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583177",
"telephone_number": "917-763-5612",
"fax_number": "888-502-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 146TH ST APT D",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573412",
"telephone_number": "917-763-5612",
"fax_number": "888-502-9368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY PHYSICAL THERAPY REHAB PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "YOUNG SOOK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-763-5612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"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 Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.