Organization Active NPI

Flushing Physical Therapy & Chiropractic, PLLC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1851970230
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLUSHING PHYSICAL THERAPY & CHIROPRACTIC, PLLC
Practice address
15001 Northern Blvd FL 1
Flushing, NY 11354-3896
Phone
(718) 746-4919
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Dr. Sangwoo Mah, DC
Title
Managing Member
Phone
(917) 626-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

15001 Northern Blvd FL 1
Flushing, NY 11354-3896

Mailing address

15001 Northern Blvd FL 1
Flushing, NY 11354-3896
Phone (718) 746-4919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address injurycarepro@protonmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1851970230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING PHYSICAL THERAPY & CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "SANGWOO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-626-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "injurycarepro@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "encrpyted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "15001 Northern Blvd Fl 1",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113543896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.