Organization Active NPI

Professional Physical Therapy & Rehabilitation PC

  • Physical Therapist
  • Jericho, NY
National Provider Identifier
1770837957
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032168 Issued in NY
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

Updated by the provider on May 4, 2026

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.