Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Taejin Physical Therapy PC

Organization Physical Therapist · NPI 1104200633

Taejin Physical Therapy PC provides Physical Therapist services 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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