Organization Active NPI

Dana Care Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1902153265
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DANA CARE PHYSICAL THERAPY PC
Practice address
14627 Beech Ave
Suite 1C
Flushing, NY 11355-2172
Phone
(718) 321-3962
Fax
(718) 321-3965
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Sung Il Hong, PTNPI 1144522038
Title
President
Phone
(917) 889-4001

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 SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14627 Beech Ave
Suite 1C
Flushing, NY 11355-2172

Mailing address

14627 Beech Ave
Suite 1C
Flushing, NY 11355-2172
Phone (718) 321-3962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000113 NY Part B Supplier - Clinic/Group Practice 2860649316 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

14232 38TH Ave 2
Flushing, NY 11354

Practitioners & affiliated clinicians

Practitioners 1

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": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1902153265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962",
            "fax_number": "718-321-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SUNG IL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-889-4001",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2012; 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.