{"npi":"1588967475","type":"NPI-2","status":"active","name":{"display":"8th Ave Physical Therapy PC","other":[],"organization_name":"8TH AVE PHYSICAL THERAPY PC","authorised_official":"Jung Ryeol Park"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"NY","license":"023674"}]},"addresses":[{"purpose":"LOCATION","street_1":"21915A NORTHERN BLVD","city":"BAYSIDE","state":"NY","postal_code":"113613525","country_code":"US","phone":"7184233400","fax":"8883912482"},{"purpose":"MAILING","street_1":"219-15A NORTHERN BLVD","city":"BAYSIDE","state":"NY","postal_code":"113613525","country_code":"US","phone":"7184233400","fax":"8883912482"}],"license":{"state":"NY","number":"023674"},"identifiers":[{"type_code":"01","label":"Other","value":"1679742274","state":"FL","issuer":"NPI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110404000383","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"NY","pac_id":"9638353402"}]},"enumeration_date":"2010-12-14","last_updated":"2016-10-06","_meta":{"source":"NPPES","snapshot_date":"2016-10-06","doc_url":"https://findmynpi.com/api"}}