Organization Active NPI

Yjk Physical Therapy P.C.

  • Physical Therapist
  • Fresh Meadows, NY
National Provider Identifier
1851728737
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023624-1 Issued in NY
Legal business name
YJK PHYSICAL THERAPY P.C.
Practice address
18507 64TH Ave
Fresh Meadows, NY 11365-2707
Phone
(718) 445-7121
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Youjin Kim, P.T.NPI 1609204387
Title
President
Phone
(347) 886-0131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 023624-1 NY Primary

Addresses

Primary practice location

18507 64TH Ave
Fresh Meadows, NY 11365-2707

Mailing address

19505A 67TH Ave Apt 3C
Fresh Meadows, NY 11365-3922

Other identifiers 1

IdentifierTypeStateIssuer
023624-1OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT. OFFICE OF THE PROFESSION

National Provider Directory

National Provider Directory

Locations

18507 64th Ave
Fresh Meadows, NY 11365
Phone (718) 445-7121

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": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1851728737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505A 67TH AVE APT 3C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18507 64TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652707",
            "telephone_number": "718-445-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YJK PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-886-0131",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023624-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT. OFFICE OF THE PROFESSION",
            "identifier": "023624-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.