Jeffrey Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036063 Issued in NY

Practice address

49 Church St
Freeport, NY 11520-3837

Phone

(516) 523-6253

NPI assigned

Feb 3, 2014

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1063835684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203837",
            "telephone_number": "516-623-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203837",
            "telephone_number": "516-523-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Kelly, RN
• Samuel H Kelman, D.O.
• Bernadina Kerasiotis, NPP PSYD
• Tammilee K Kerr, RDN
• Kids Sprouts Corp.
• Mario I Kim, BS
• Suk Sik Kim, M.D.
• Susan Kim, RPH
• Kinesiopro Inc.
• Aaron Michael King

• Physical Therapist in Freeport, NY
• Providers in Freeport, 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 Feb 3, 2014; 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.