Mt Zion Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MT ZION PHYSICAL THERAPY PC

Practice address

14627 Beech Ave
Suite 1C
Flushing, NY 11355-2172

Phone

(718) 321-3962

Fax

(718) 321-3965

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Ki Tae Maeng, P.T.

Title

President

Phone

(718) 321-3962

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1841597648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT ZION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "MAENG",
        "authorized_official_first_name": "KI TAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-3962",
        "authorized_official_credential": "P.T."
    },
    "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 Feb 15, 2011; 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.