Lawrence Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01510100 Issued in NJ

Practice address

53 Henry St
Elmwood Park, NJ 07407-2409

Phone

(201) 783-2332

NPI assigned

Aug 26, 2013

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edge Physical Therapy and Sports Medicine LLCGroup PAC ID 0143523720, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edge Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Paramus, NJ
  • NPI 1467828301
  Medicare reassignment Care Compare group NPD Authorized official
• Edge Wellness and Physical Therapy, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lee, NJ
  • NPI 1780254862

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Edge Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Paramus, NJ
  • NPI 1558737395
  NPD Authorized official
• 360 Physical Therapy LLC

  • Physical Therapist
  • Elmwood Park, NJ
  • NPI 1992182752
  NPD (past) Authorized official
• Edge Pro Sports Rehab Institute, LLC

  • Physical Therapist
  • Paramus, NJ
  • NPI 1124519160
  NPD (past) Authorized official

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1154755288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E RTE 4 STE 100",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HENRY ST",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072409",
            "telephone_number": "201-783-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LAWRENCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01510100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Patrick Kelly, PHD
• Paul Kezmarsky
• Fuad M Kiblawi, M.D.
• Wanda Kietlinski, RPH
• Bomee Kim
• Yeonsoo Kim
• Danielle Labianco, MED, ATC
• Leonid Lamper, MD
• Michelle Laski, APN
• James Lee

• Physical Therapist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.