Healthcare Provider Details

I. General information

NPI: 1114441474
Provider Name (Legal Business Name): TOUCH OF LIFE PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 E 57TH ST STE 801
NEW YORK NY
10022-2971
US

IV. Provider business mailing address

136 E 57TH ST STE 801
NEW YORK NY
10022-2971
US

V. Phone/Fax

Practice location:
  • Phone: 347-200-7412
  • Fax:
Mailing address:
  • Phone: 347-200-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number035146
License Number StateNY

VIII. Authorized Official

Name: JONGIL JO
Title or Position: OWNER
Credential: DPT
Phone: 347-200-7412