Active NPI
Professional Physical Therapy & Rehabilitation PC
- Physical Therapist
- Jericho, NY
National Provider Identifier
1770837957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032168
- Legal business name
- PROFESSIONAL PHYSICAL THERAPY & REHABILITATION PC
- Practice address
- 42 Flower LN
Jericho, NY 11753-2312 - Phone
- (201) 759-6500
- NPI assigned
- Nov 9, 2012
- 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
- Eunhye Ko, PT
- Title
- Physical Therapist
- Phone
- (201) 759-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032168 | NY | Primary |
Addresses
Primary practice location
42 Flower LN
Jericho, NY 11753-2312
Mailing address
42 Flower LN
Jericho, NY 11753-2312
Other names 1
- PROFESSIONAL PHYSICAL THERAPY & REHABILITATION PC
National Provider Directory
National Provider DirectoryLocations
4212 164th St
Fl 1
Flushing, NY 11358
Phone (718) 701-5500
4212 164th St
#1
Flushing, NY 11358
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 Therapist
- Flushing, NY
- NPI 1245750520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1770837957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 FLOWER LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 FLOWER LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532312",
"telephone_number": "201-759-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PHYSICAL THERAPY & REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-09",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "KO",
"authorized_official_first_name": "EUNHYE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "201-759-6500",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "032168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROFESSIONAL PHYSICAL THERAPY & REHABILITATION PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PROFESSIONAL PHYSICAL THERAPY & REHABILITATION PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.