Healthcare Provider Details

I. General information

NPI: 1033941109
Provider Name (Legal Business Name): STEPPING STONE PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2024
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 E 49TH ST FL 6
NEW YORK NY
10017-1018
US

IV. Provider business mailing address

22 E 49TH ST FL 6
NEW YORK NY
10017-1018
US

V. Phone/Fax

Practice location:
  • Phone: 332-895-5677
  • Fax: 332-895-5290
Mailing address:
  • Phone: 332-895-5677
  • Fax: 332-895-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HYEONGJIN JEON
Title or Position: PRESIDENT
Credential: DPT
Phone: 332-895-5677