Synergycare Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019722-1 Issued in NY

Legal business name

SYNERGYCARE PHYSICAL THERAPY, P.C.

Practice address

15301 Northern Blvd
Suite 2F
Flushing, NY 11354-5035

Phone

(718) 888-1669

Fax

(718) 888-2514

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Authorized official

Name

Dohyung Kim, P.T.

Title

President

Phone

(718) 888-1669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1740673896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "SUITE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-888-1669",
            "fax_number": "718-888-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "SUITE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-888-1669",
            "fax_number": "718-888-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGYCARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOHYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-1669",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019722-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.