Unity Move Physical Therapy Wellness PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC

Practice address

4000 Medical Center Dr
Ste 108
Fayetteville, NY 13066

Phone

(315) 961-6007

Fax

(315) 203-1212

NPI assigned

Jul 16, 2025

Last updated

Dec 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bokkyu Kim, PT, PHDNPI 1720879729

Title

Owner

Phone

(213) 400-3279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bokkyu Kim, PT, PHD

  • Physical Therapist
  • Fayetteville, NY
  • NPI 1720879729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1003708892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 DABNEY LN",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR",
            "address_2": "STE 108",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-961-6007",
            "fax_number": "315-203-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BOKKYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-400-3279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Burke Tucker, MD.
• William M Tucker, MD
• Tuscon Supply Inc
• Tuscon Supply Inc
• Terry L Twichell, MSW LCSWR
• VA Medical Center
• Mark Vanalstyne, DC, PT
• Sarah Vartabedian
• Tracy A Vaughn, RPA
• Linda Noonan Vause, MS, CRC

• Physical Therapy Clinic/Center in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.