MEDICARE: ALL ABOUT PT PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1942002696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT PT PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	4125 KISSENA BLVD APT 6EE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3164
Country	:	US
Telephone Number	:	347-467-0760
Fax Number	:

Provider Business Practice Location Address
First Line	:	14241 41ST AVE UNIT 10
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-2451
Country	:	US
Telephone Number	:	646-755-9255
Fax Number	:

Authorized Official
Title or Position	:	DPT/PRESIDENT
Name	:	JUNSU PARK
Credential	:
Telephone Number	:	347-467-0760

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	06/02/2026

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