Dongeon Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040141 Issued in NY

Practice address

3310 101St St FL 2
Corona, NY 11368-1018

Phone

(347) 708-1294

NPI assigned

Feb 25, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kim Physical Therapy P. C.

  • Physical Therapy Clinic/Center
  • Corona, NY
  • NPI 1588285407
  NPD Authorized official
• Chiropractic Spine & Sport of Queens P.C.

  • Chiropractor
  • Corona, NY
  • NPI 1831070465

  Single Specialty

  NPD
• Rehab Care Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1689218646

  Single Specialty

  NPD (past)
• Sense Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1043604028

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1003373168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 161ST ST APT 2A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654497",
            "telephone_number": "917-292-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 101ST ST FL 2",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681018",
            "telephone_number": "347-708-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONGEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashmita Khatri
• Emily Khodosh
• Nellya Kikirova
• Ashley Kilian
• Kim Physical Therapy P. C.
• Han NA Kim, P.T.
• Helen Hyo Jung Kim, MD
• Hyon Chol Kim, LAC
• Jae Hoon Kim, D.C.
• Julia Yeiun Kim, DDS

• Physical Therapist in Corona, NY
• Providers in Corona, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.