Provider Demographics
NPI:1942002696
Name:ALL ABOUT PT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ALL ABOUT PT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUNSU
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-402-1951
Mailing Address - Street 1:4125 KISSENA BLVD APT 6EE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3164
Mailing Address - Country:US
Mailing Address - Phone:646-402-1951
Mailing Address - Fax:
Practice Address - Street 1:14241 41ST AVE UNIT 10
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2451
Practice Address - Country:US
Practice Address - Phone:646-755-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty