JAE KEUN SONG
NPI 1447111612
Physical Therapist in Fresh Meadows, NY
About Jae Keun Song NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE KEUN SONG (NPI 1447111612) is an individual physical therapist in Fresh Meadows, New York, licensed in New York (051095) and active in the NPI registry since November 2025.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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 Jae Keun Song's NPI number?
The NPI number for Jae Keun Song is 1447111612. It was assigned to this individual provider in the NPPES registry on November 18, 2025.
Where is Jae Keun Song located?
Jae Keun Song practices at 7157 161st St Apt 2A, Fresh Meadows, NY 11365. The listed phone number is (917) 832-2320.
What is Jae Keun Song's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
When was this NPI record last updated?
The NPPES record for Jae Keun Song was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.