Organization Active NPI

SL 22 Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
National Provider Identifier
1912612938
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SL 22 PHYSICAL THERAPY PC
Practice address
3323 172ND St FL 2
Flushing, NY 11358-1828
Phone
(929) 465-2835
NPI assigned
Jan 16, 2023
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Seongjae LeeNPI 1437779329
Title
President
Phone
(929) 465-2835

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3323 172ND St FL 2
Flushing, NY 11358-1828

Mailing address

3323 172ND St FL 2
Flushing, NY 11358-1828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1912612938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 172ND ST FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 172ND ST FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581828",
            "telephone_number": "929-465-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL 22 PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEONGJAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-465-2835"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "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 Jan 16, 2023; 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.