Sun Ki Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUN KI PHYSICAL THERAPY PC

Practice address

14351 Roosevelt Ave Apt 1F
Flushing, NY 11354-6181

Phone

(718) 661-4130

Fax

(718) 661-4132

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Ki Yom

Title

Owner

Phone

(917) 583-3316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ki Suk Yom, MS

  • Physical Therapist
  • Flushing, NY
  • NPI 1386840932
  Medicare reassignment NPD

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1891358362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14351 ROOSEVELT AVE APT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546181",
            "telephone_number": "718-661-4130",
            "fax_number": "718-709-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 ROOSEVELT AVE APT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546181",
            "telephone_number": "718-661-4130",
            "fax_number": "718-661-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN KI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "YOM",
        "authorized_official_first_name": "KI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-583-3316"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.