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

Dr. Bonghak Ji, PTDPTOCSCSCS

Individual provider Physical Therapist · NPI 1144887597

Dr. Bonghak Ji, PTDPTOCSCSCS is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2015, 11 years ago. Practices with Angel Alliance Physical Therapy and Acupuncture PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

15007 Bayside Ave Fl 1
Flushing, NY 11354-2432
Phone: (347) 209-3684
Fax: (315) 570-9902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X (NY)
Physical Therapist Taxonomy 225100000X · Licence 035793 (NY)

Record details

NPI number1144887597
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPTOCSCSCS
Sole proprietorYes
NPI enumeratedMay 21, 2019
Last updated in NPPESApril 20, 2025
Certification dateApril 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Angel Alliance Physical Therapy And Acupuncture Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Flushing