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

Ki Tae Maeng, PT, LAC

Individual provider Physical Therapist · NPI 1104088798

Ki Tae Maeng, PT, LAC is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3625 Parsons Blvd Unit L1
Flushing, NY 11354
Phone: (718) 353-7575
Fax: (718) 353-7577
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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 034739 (NY)
Acupuncturist Taxonomy 171100000X · Licence 007748 (NY)

Record details

NPI number1104088798
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , LAC
Sole proprietorYes
NPI enumeratedJune 26, 2008
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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