Active NPI
Serenity Physical Therapy PC
- Physical Therapy Clinic/Center
- Flushing, NY
National Provider Identifier
1740047042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SERENITY PHYSICAL THERAPY PC
- Practice address
- 5909 136TH St
Flushing, NY 11355-5207 - Phone
- (646) 400-8898
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 4, 2024
- 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
- Kevin Wang
- Title
- Ceo
- Phone
- (646) 400-8898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5909 136TH St
Flushing, NY 11355-5207
Mailing address
5909 136TH St
Flushing, NY 11355-5207
Phone (646) 400-8898
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Flushing, NY
- NPI 1700542388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1740047042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 136TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555207",
"telephone_number": "646-400-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 136TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555207",
"telephone_number": "646-400-8898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-400-8898"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.