Kyoko Ijichi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027038-1 Issued in NY

Practice address

511 W 25TH St
Suite 507
New York, NY 10011-5561

Phone

(212) 741-5544

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bounce Back Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1285602193
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1962533513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 25TH ST",
            "address_2": "SUITE 507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015561",
            "telephone_number": "212-741-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 25TH ST",
            "address_2": "SUITE 507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115561",
            "telephone_number": "212-741-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJICHI",
        "first_name": "KYOKO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "520067-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027038-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01164900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayran Ihsan, LMSW
• Peculiar Aziche Ihunwo, MD
• Elizabeth Spalter Iino, LMSW
• Hamza Ijaz, MD
• Samia Ijaz
• Ik Dental
• Ik Dental, PC
• Ik Med Supply Inc
• Anaise E Ikama, RN
• Chinyelu Adaobi, Ngozi, Ikeako, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.