8TH AVE PHYSICAL THERAPY PC
NPI 1588967475
Physical Therapist in Bayside, NY
About 8th Ave Physical Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
8TH AVE PHYSICAL THERAPY PC (NPI 1588967475) is a healthcare organization registered as a physical therapist in Bayside, New York and active in the NPI registry since December 2010. The organization lists Jung Ryeol Park, President, as its authorized official.
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.
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
8th Ave Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to 8th Ave Physical Therapy PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 8th Ave Physical Therapy PC's NPI number?
The NPI number for 8th Ave Physical Therapy PC is 1588967475. It was assigned to this organization in the NPPES registry on December 14, 2010.
Where is 8th Ave Physical Therapy PC located?
8th Ave Physical Therapy PC is located at 21915A Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 423-3400.
What is 8th Ave Physical Therapy PC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is 8th Ave Physical Therapy PC enrolled in Medicare?
Yes. 8th Ave Physical Therapy PC is registered in the Medicare PECOS enrollment system.
When is 8th Ave Physical Therapy PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through 8th Ave Physical Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to 8th Ave Physical Therapy PC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 8th Ave Physical Therapy PC was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# 8th Ave Physical Therapy Pc · NPI 1588967475
Physical Therapist organization in Bayside, New York. Organization record, active in the CMS NPPES registry since December 14, 2010.
## Identity
- **NPI:** 1588967475 (Entity type: Organization)
- **Enumerated:** December 14, 2010
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Jung Ryeol Park, PRESIDENT
## Practice location
- **Address:** 21915A NORTHERN BLVD, Bayside, NY 11361-3525
- **Phone:** (718) 423-3400 · **Fax:** (888) 391-2482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2016
- **Other identifiers:** Other 1679742274 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1588967475) · Data from the CMS NPPES public registry.