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

Evergreen Gables Physical Therapy PC

Organization Physical Therapist · NPI 1679312987

Evergreen Gables Physical Therapy PC is a Physical Therapist in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
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

6424 11th Ave
Brooklyn, NY 11219-5639
Phone: (718) 333-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679312987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dong Hyouk Park — President · (347) 242-0032
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address87 Manorhaven Blvd, Port Washington, NY 11050-1521

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