Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Gables Physical Therapy PC

Organization Physical Therapist · NPI 1679312987

Evergreen Gables Physical Therapy PC provides Physical Therapist services in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6424 11th Ave
Brooklyn, NY 11219-5639
Phone: (718) 333-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1679312987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dong Hyouk Park — President · (347) 242-0032
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address87 Manorhaven Blvd, Port Washington, NY 11050-1521

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