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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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

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.

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 15 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.