Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Park Avenue Physical Therapy PC

Physical Therapist in Stony Brook, NY · enumerated 2021 · authorized official Jessie Kim, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982360038

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Registry record

Entity type Organization (Type 2)

Legal business name Park Avenue Physical Therapy PC

Other name <Unavail>

Practice address 207 Hallock Rd Ste 209, Stony Brook, NY, 11790

Phone (631) 338-8516

Fax (518) 984-3120

Enumeration date Nov 12, 2021

Last updated in NPPES Jan 6, 2024

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Jessie Kim

Title Owner

Phone (631) 338-8516

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Park Avenue Physical Therapy PC located?

The practice location on file with NPPES is in Stony Brook, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-06.