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DR. BONGHAK JI PT. DPT. OCS. CSCS.
NPI 1144887597
Physical Therapist - Orthopedic in Flushing, NY

Active since May 21, 2019Accepts Medicare Assignment
15007 BAYSIDE AVE FL 1, FLUSHING, NY 11354(347) 209-3684(315) 570-9902 Get Directions Write a Review

NPPES record last updated: April 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2022, May 21, 2019 (2 updates tracked since 2019).

About Dr. Bonghak Ji Pt. Dpt. Ocs. Cscs. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BONGHAK JI PT. DPT. OCS. CSCS. (NPI 1144887597) is an individual orthopedic provider in Flushing, New York and active in the NPI registry since May 2019. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1144887597
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. BONGHAK JICredential: PT. DPT. OCS. CSCS.
Location Address15007 BAYSIDE AVE FL 1Flushing, NY 11354-2432
Mailing Address14021 32nd Ave Apt 6cnFlushing, NY 11354-2640 · (347) 209-3684
Phone(347) 209-3684
Fax(315) 570-9902
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 21, 2019
Last NPPES UpdateApril 20, 20252 updates tracked since enumeration
NPPES CertifiedApril 20, 2025
✔ NPI 1144887597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 035793 (NY)
15007 BAYSIDE AVE FL 1, Flushing, NY 11354
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bonghak Ji Pt. Dpt. Ocs. Cscs. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032442025
PECOS Enrollment IDI20190606000406

Medicare Billing Reassignments

4

Medicare enrollment records show Bonghak Ji reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Occupational & Physical Therapy, PLLC
1.2 mi
Occupational Therapist
2142 UTOPIA PKWY
Whitestone, NY 11357
  • Reassigned Medicare billing, New York enrollment
  • 518 clinicians in this Medicare group
NPI 1487104261 (718) 767-0610
Ji Physical Therapy PC
4.8 mi
Physical Therapist
6308 ROOSEVELT AVE
Woodside, NY 11377
  • Reassigned Medicare billing, New York enrollment
NPI 1124776307 (347) 209-3684
Angel Alliance Physical Therapy & Acupuncture PLLC
6.8 mi
Physical Therapist
34 OLD PINE DR
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1831856541 (212) 235-1088
New York Luna Care Physical Therapy PLLC
23 mi
Physical Therapist
1 BLUE HILL PLZ STE 1509
Pearl River, NY 10965
  • Reassigned Medicare billing, New York enrollment
  • 276 clinicians in this Medicare group
NPI 1194314062 (866) 525-3175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonghak Ji's NPI number?

The NPI number for Bonghak Ji is 1144887597. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Bonghak Ji located?

Bonghak Ji practices at 15007 Bayside Ave Fl 1, Flushing, NY 11354. The listed phone number is (347) 209-3684.

What is Bonghak Ji's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Bonghak Ji enrolled in Medicare?

Yes. Bonghak Ji is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bonghak Ji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonghak Ji reassigns Medicare benefits to 4 organizations: Professional Occupational & Physical Therapy, PLLC (Whitestone, NY), Ji Physical Therapy PC (Woodside, NY), Angel Alliance Physical Therapy & Acupuncture PLLC (Manhasset, NY) and New York Luna Care Physical Therapy PLLC (Pearl River, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonghak Ji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bonghak Ji was last updated on April 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.