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

Taejin Physical Therapy PC

Organization Physical Therapist · NPI 1104200633

Taejin Physical Therapy PC is a Physical Therapist in Flushing, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

199-04 47th Ave Apt 1
Flushing, NY 11358-3955
Phone: (929) 373-5772
Fax: (914) 462-4372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 030060 (NY)

Record details

NPI number1104200633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tae Jin Kim — Dpt, President · (929) 373-5772
NPI enumeratedJuly 14, 2015
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address199-04 47th Ave, Apt 1, Flushing, NY 11358-3955

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