White Tiger Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WHITE TIGER PHYSICAL THERAPY PC

Practice address

3226 Union St Apt 1C
Flushing, NY 11354-3198

Phone

(929) 232-5758

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Backho Kim

Title

Owner

Phone

(929) 232-5758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1760089650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 UNION ST APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543198",
            "telephone_number": "929-232-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 UNION ST APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543198",
            "telephone_number": "929-232-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE TIGER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BACKHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-232-5758"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2022; 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.