Organization Active NPI

THK Physical Therapy P.C.

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1871058180
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THK PHYSICAL THERAPY P.C.
Practice address
4160 Main St Ste 209
Flushing, NY 11355-3899
Phone
(917) 362-2018
NPI assigned
Jan 31, 2019
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Tzu-Hao Kuo, DPTNPI 1629474986
Title
President
Phone
(347) 894-1527

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

4160 Main St Ste 209
Flushing, NY 11355-3899

Mailing address

418 E 71St St # 2F
New York, NY 10021-4892
Phone (347) 894-1527

Other identifiers 1

IdentifierTypeStateIssuer
4039465MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200630003292 NY Part B Supplier - Clinic/Group Practice 5799108213 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

108 E 16th St
Fl 4F
New York, NY 10003

418 E 71st St
#2F
New York, NY 10021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1871058180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E 71ST ST # 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214892",
            "telephone_number": "347-894-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST STE 209",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553899",
            "telephone_number": "917-362-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THK PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "TZU-HAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-894-1527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4039465",
            "state": "NY"
        }
    ],
    "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 Nov 16, 2020; 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.