Organization Active NPI

Smart Care PT Rehab PC

  • Physical Therapist
  • Jericho, NY
National Provider Identifier
1790296515
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041675 Issued in NY
Legal business name
SMART CARE PT REHAB PC
Practice address
42 Flower LN
Jericho, NY 11753-2312
Phone
(201) 759-6500
NPI assigned
Oct 19, 2017
Last updated
May 4, 2026By the provider in NPPES
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
Seongrak KangNPI 1245750520
Title
President
Phone
(201) 759-6500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041675 NY Primary

Addresses

Primary practice location

42 Flower LN
Jericho, NY 11753-2312

Mailing address

42 Flower LN
Jericho, NY 11753-2312

National Provider Directory

National Provider Directory

Locations

4212 164th St
#1
Flushing, NY 11358

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1790296515",
    "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": "SMART CARE PT REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SEONGRAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-759-6500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.