Active NPI
New Core Wellness Physical Therapy P.C.
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1891461745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Physical Therapist | 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 DirectoryLocations
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
- Sushrita Neogi
- Alain Montesa Neri, NP
- Kerem Nernekli, MD
- Michele Marie Neuhaus, ATR-BC, LCAT
- Rachel Haya Neuman, PA-C
- New Life Senior Care Center LLC
- New Surfside Nursing Home Adc
- New York City Health & Hospitals Corporation
- New York City Health and Hospitals Corporation
- New York City Health and Hospitals Corporation
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.