Organization Active NPI

Maple Care PT PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1851980130
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAPLE CARE PT PC
Practice address
141-30 Northern Blvd., Mezz a
Flushing, NY 11354-4580
Phone
(516) 265-1864
Fax
(646) 952-7153
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
PO Yue Choi, DPTNPI 1487696563
Title
President
Phone
(516) 265-1864

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 Primary

Addresses

Primary practice location

141-30 Northern Blvd., Mezz a
Flushing, NY 11354-4580

Mailing address

141-30 Northern Blvd., Mezz a
Flushing, NY 11354-4580
Phone (516) 265-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129000329 NY Part B Supplier - Clinic/Group Practice 0446640833 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14130 Northern Blvd
#A
Flushing, NY 11354
Phone (516) 265-1864

14238 37th Ave
Ste 2B
Flushing, NY 11354
Phone (516) 265-1864

14130 Northern Blvd
Flushing, NY 11354

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": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1851980130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141-30 NORTHERN BLVD., MEZZ A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "516-265-1864",
            "fax_number": "646-952-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141-30 NORTHERN BLVD., MEZZ A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "516-265-1864",
            "fax_number": "646-952-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "PO YUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-265-1864",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.