Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

8th Ave Physical Therapy PC

Organization Physical Therapist · NPI 1588967475

8th Ave Physical Therapy PC is a Physical Therapist in Bayside, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21915A Northern Blvd
Bayside, NY 11361-3525
Phone: (718) 423-3400
Fax: (888) 391-2482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 023674 (NY)

Record details

NPI number1588967475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jung Ryeol Park — President · (718) 423-3400
NPI enumeratedDecember 14, 2010
Last updated in NPPESOctober 6, 2016
Mailing address219-15a Northern Blvd, Bayside, NY 11361-3525

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