Ji Physical Therapy PC
NPI 1124776307ActiveOrganization· Physical Therapist· Woodside, NY
Physical Therapist in Woodside, New York, registered in NPPES in March 2022. The authorized official on file is Bonghak Ji, Pt. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1124776307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2022 |
| Last updated in NPPES | Sep 27, 2022 |
| Certified by provider | Sep 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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