Active NPI
Ban Physical Therapy PC
- Physical Therapist
- New York, NY
National Provider Identifier
1992436117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BAN PHYSICAL THERAPY PC
- Practice address
- 290 Madison Ave Ste 601
New York, NY 10017-6308 - Phone
- (224) 423-8053
- Fax
- (973) 915-7116
- NPI assigned
- Jun 20, 2022
- Last updated
- Jun 20, 2022
- 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
- Myeongji Ban
- Title
- Provider
- Phone
- (224) 423-8053
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
290 Madison Ave Ste 601
New York, NY 10017-6308
Mailing address
290 Madison Ave Ste 601
New York, NY 10017-6308
Phone (224) 423-8053
National Provider Directory
National Provider DirectoryLocations
290 Madison Ave
Ste 601
New York, NY 10017
Phone (224) 423-8053
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Howard Beach, NY
- NPI 1568007623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1992436117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 MADISON AVE STE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176308",
"telephone_number": "224-423-8053",
"fax_number": "973-915-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 MADISON AVE STE 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176308",
"telephone_number": "224-423-8053",
"fax_number": "973-915-7116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAN PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "BAN",
"authorized_official_first_name": "MYEONGJI",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "224-423-8053"
},
"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 New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.