Individual provider Active NPI

Helen M Kim, D.P.T.

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1023297298
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01600300 Issued in NJ
Practice address
1011 Clifton Ave
Clifton, NJ 07013-3518
Phone
(973) 778-1134
Fax
(973) 614-1530
NPI assigned
Oct 24, 2007
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 029758-1 NY
Physical Therapist 225100000X 40QA01600300 NJ Primary

Addresses

Primary practice location

1011 Clifton Ave
Clifton, NJ 07013-3518

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

75 Maiden Ln
suite 404
New York, NY 10038-4810
Phone (212) 402-5430

Other names 1

  • Helen Nam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080118000579 NY Practitioner - Physical Therapist in Private Practice 7416038179 Reassigns benefits to 1 organization
I20201216000534 NJ Practitioner - Physical Therapist in Private Practice 7416038179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physical Therapy Associates PAGroup PAC ID 1456361302, 15 clinicians

Practice addresses (Care Compare)

1060 Main St
Suite 302
River Edge, NJ 07661-2592
Phone (201) 833-0234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01600300NJMDPhysical Therapist
029758-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Back to Health Physical Therapy Associates, P.a. Physical Therapist CurrentSince Jan 30, 2022 Accepting new patients
Function First Physical Therapy P C Physical Therapist CurrentSince May 1, 2013 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Dec 21, 2020 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Dec 21, 2020 Accepting new patients

Locations

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

119 W 23rd St
Ste 804
New York, NY 10011
Phone (212) 691-4833

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1023297298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133518",
            "telephone_number": "973-778-1134",
            "fax_number": "973-614-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Maiden Ln",
            "address_2": "suite 404",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384810",
            "country_code": "US",
            "telephone_number": "212-402-5430",
            "fax_number": "212-402-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HELEN",
        "middle_name": "M",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "029758-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01600300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "NAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.