Organization Active NPI

Good Morning Physical Therapy PC

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1982957262
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031759 Issued in NY
Legal business name
GOOD MORNING PHYSICAL THERAPY PC
Practice address
105 Newbridge Rd
Hicksville, NY 11801-3901
Phone
(845) 827-3469
Fax
(516) 740-2083
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Hyun Sung Park, RPTNPI 1861766628
Title
Owner
Phone
(845) 827-3469

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 031759 NY Primary

Addresses

Primary practice location

105 Newbridge Rd
Hicksville, NY 11801-3901

Mailing address

105 Newbridge Rd
Hicksville, NY 11801-3901
Phone (845) 827-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000634 NY Part B Supplier - Clinic/Group Practice 2961644463 Receives reassigned benefits from 1 practitioner
Practice locations: Commack, NY; Hicksville, NY

National Provider Directory

National Provider Directory

Locations

20801 Northern Blvd
Ste 301
Bayside, NY 11361
Phone (718) 224-2250

20801 Northern Blvd
#301
Bayside, NY 11361

14242 41st Ave
#1
Flushing, NY 11355
Phone (718) 888-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1982957262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013901",
            "telephone_number": "845-827-3469",
            "fax_number": "516-740-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013901",
            "telephone_number": "845-827-3469",
            "fax_number": "516-740-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MORNING PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUN SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-827-3469",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.