JWC PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031918 Issued in NY

Legal business name

JWC PT PC

Practice address

20935 Northern Blvd Ste 215
Bayside, NY 11361-3134

Phone

(718) 225-9000

Fax

(718) 352-9000

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Jaewook Choi, DPT

Title

Physical Therapist

Phone

(347) 256-1455

Specialties & licenses 1

Addresses

Other names 1

• JWC PT PC Former legal business name

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841720950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20935 NORTHERN BLVD STE 215",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613134",
            "telephone_number": "718-225-9000",
            "fax_number": "718-352-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20935 NORTHERN BLVD STE 215",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613134",
            "telephone_number": "718-225-9000",
            "fax_number": "718-352-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWC PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAEWOOK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-256-1455",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JWC PT PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JWC PT PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mariamma Jose, MS, OTRL
• Joshua Lehman DO PC
• Jr Prosthetics and Orthotics LLC
• Esther Jung, , FNP-BC
• Elise M Jusko, M.S. CCC/SLP
• Evelyn Kagabines, D.M.D.
• Denise Ann Kalafatis
• Jana Kalensky, M.S. SPED./ED., BCBA
• Olga Kalvar, RN
• Inessa Kandov, D.D.S.

• Physical Therapist in Bayside, NY
• Providers in Bayside, 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 21, 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.