Organization Active NPI

Ny Queens Physical Therapy PC

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1881103133
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040940 Issued in NY
Legal business name
NY QUEENS PHYSICAL THERAPY PC
Practice address
86-09 51 Ave 1 Floor
Elmhurst, NY 11373
Phone
(718) 760-8881
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Ms. Zhaoyu JiaNPI 1104369883
Title
Business Owner
Phone
(917) 858-8570

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 MULTIPLE SINGLE SPECIALTY GROUP 225100000X 040940 NY Primary

Addresses

Primary practice location

86-09 51 Ave 1 Floor
Elmhurst, NY 11373

Mailing address

4265 Kissena Blvd Apt 517
Flushing, NY 11355-3201
Phone (917) 858-8570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107002051 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608132675 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13620 Maple Ave
Ste 703
Flushing, NY 11355
Phone (917) 858-8570

13620 Maple Ave
#C703
Flushing, NY 11355

4160 Main St
Ste 250B
Flushing, NY 11355

Practitioners & affiliated clinicians

Practitioners 8

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": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1881103133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 KISSENA BLVD APT 517",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553201",
            "telephone_number": "917-858-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-09 51 AVE 1 FLOOR",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-760-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY QUEENS PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "JIA",
        "authorized_official_first_name": "ZHAOYU",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "917-858-8570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.