Greenwich Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GREENWICH PHYSICAL THERAPY

Practice address

12 Ulster Dr
Jericho, NY 11753-1922

Phone

(917) 951-0032

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Mi Jeong Kim

Title

PT

Phone

(917) 951-0032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1982590436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ULSTER DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531922",
            "telephone_number": "917-951-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ULSTER DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531922",
            "telephone_number": "917-951-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MI JEONG",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "917-951-0032"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Green
• Howard Samuel Green, M.D.
• Danielle Paige Greenberg, LCSW
• Keri A Greene-Maskell, D.D.S.
• Alexandra Nicole Greenwald
• Taryn Grossfield
• Joan Gulamerian, RN
• Bonnie Gutwirth, PSY.D.
• Ali E. Guy, M.D.
• Shelley Joan Haber, LCSW

• Physical Therapist in Jericho, NY
• Providers in Jericho, 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 Aug 29, 2025; 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.