Active NPI
Yk Movement Physical Therapy PC
- Physical Therapist
- Forest Hills, NY
National Provider Identifier
1952006157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- YK MOVEMENT PHYSICAL THERAPY PC
- Practice address
- 7011 108TH St Apt 1J
Forest Hills, NY 11375-4405 - Phone
- (201) 312-5797
- Fax
- (347) 502-6030
- NPI assigned
- Apr 5, 2023
- 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
- Young Dong Kim
- Title
- DPT/President
- Phone
- (201) 312-5797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
7011 108TH St Apt 1J
Forest Hills, NY 11375-4405
Mailing address
5629 Cloverdale Blvd
Bayside, NY 11364-2047
Phone (201) 312-5797
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1952006157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5629 CLOVERDALE BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113642047",
"telephone_number": "201-312-5797",
"fax_number": "347-502-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 108TH ST APT 1J",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754405",
"telephone_number": "201-312-5797",
"fax_number": "347-502-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YK MOVEMENT PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YOUNG DONG",
"authorized_official_title_or_position": "DPT/PRESIDENT",
"authorized_official_telephone_number": "201-312-5797"
},
"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 Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.