Organization Active NPI

New Core Wellness Physical Therapy P.C.

  • Physical Therapist
  • Elmhurst, NY
National Provider Identifier
1891461745
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEW CORE WELLNESS PHYSICAL THERAPY P.C.
Practice address
9115 Lamont Ave Apt 2K
Elmhurst, NY 11373-2731
Phone
(909) 815-1269
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Taeyong Kim
Title
Owner
Phone
(909) 815-1269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9115 Lamont Ave Apt 2K
Elmhurst, NY 11373-2731

Mailing address

9115 Lamont Ave Apt 2K
Elmhurst, NY 11373-2731
Phone (909) 815-1269

National Provider Directory

National Provider Directory

Locations

303 5th Ave
Rm 803
New York, NY 10016
Phone (646) 326-9069

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1891461745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 LAMONT AVE APT 2K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732731",
            "telephone_number": "909-815-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 LAMONT AVE APT 2K",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732731",
            "telephone_number": "909-815-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CORE WELLNESS PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-815-1269"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 20, 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.