Organization Active NPI

Minji Physical Therapy P.C.

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1922709781
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MINJI PHYSICAL THERAPY P.C.
Practice address
7319 41St Ave FL 3
Woodside, NY 11377-3046
Phone
(929) 494-5047
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Min Ji Kang
Title
Physical Therapy
Phone
(929) 494-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7319 41St Ave FL 3
Woodside, NY 11377-3046

Mailing address

7319 41St Ave FL 3
Woodside, NY 11377-3046
Phone (929) 494-5047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1922709781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 41ST AVE FL 3",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773046",
            "telephone_number": "929-494-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 41ST AVE FL 3",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773046",
            "telephone_number": "929-494-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINJI PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "MIN JI",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "929-494-5047"
    },
    "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 Woodside, NY

Sources for this page

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